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Tennessee rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $47 · 10th–90th $26–$3390%20%10th90th$47Professionalmedian $33 · 10th–90th $26–$510%20%40%10th90th$33$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $26.30 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $44.67
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.20 / $45.71