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Tennessee rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.06 / $26.57 / $26.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $28.39 / $45.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $55.19 / $55.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $44.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.73 / $328.96 / $353.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.45 / $392.45 / $613.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $30.59 / $46.09