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Tennessee rates for HCPCS L5681

Addition to lower extremity, below knee (BK)/above knee (AK), custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code L5673 or L5679)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.39 / $691.69 / $691.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.48 / $691.69 / $1,188.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.44 / $1,197.44 / $1,197.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.26 / $1,436.92 / $1,436.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.47 / $886.63 / $886.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.24 / $647.24 / $886.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.38 / $7,396.37 / $7,396.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,010.83 / $8,010.83 / $11,624.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.01 / $796.51 / $1,083.25