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Tennessee rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.21 / $1,489.86 / $1,489.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.21 / $1,489.86 / $2,733.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.19 / $2,579.19 / $3,438.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.94 / $3,095.03 / $3,095.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.71 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $2,400.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,473.65 / $17,077.79 / $20,817.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,693.67 / $21,693.67 / $25,111.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.76 / $1,715.64 / $2,470.67