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Tennessee rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.15 / $31.76 / $31.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.15 / $34.90 / $57.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $65.98 / $65.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.19 / $45.81 / $45.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $33.44 / $45.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.63 / $392.56 / $464.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.36 / $590.17 / $733.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $36.58 / $55.11