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Tennessee rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.80 / $188.43 / $188.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.80 / $189.27 / $323.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $391.45 / $391.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.49 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $271.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.38 / $2,350.53 / $2,754.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,803.83 / $2,803.83 / $3,262.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $216.98 / $326.92