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Tennessee rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $25.03 / $25.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $25.81 / $43.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.42 / $51.99 / $51.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.88 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $37.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.88 / $305.37 / $365.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.29 / $578.84 / $578.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $43.42