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Tennessee rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.26 / $299.01 / $299.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $299.01 / $537.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.64 / $517.64 / $517.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.20 / $621.16 / $621.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.13 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $380.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.40 / $3,301.32 / $3,781.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,654.76 / $4,766.49 / $4,766.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.54 / $344.32 / $458.97