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Tennessee rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.07 / $155.05 / $155.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.07 / $155.75 / $266.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.24 / $322.11 / $322.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.31 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.66 / $1,867.83 / $1,908.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.46 / $2,376.46 / $2,684.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $178.55 / $269.02