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Tennessee rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.03 / $172.35 / $172.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.03 / $172.35 / $296.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.02 / $358.03 / $358.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $228.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.04 / $1,903.31 / $1,903.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.58 / $2,245.58 / $3,508.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.31 / $194.32 / $274.61