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Tennessee rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.80 / $488.19 / $488.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.80 / $493.32 / $838.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.39 / $1,014.17 / $1,014.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.29 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $957.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.25 / $5,705.72 / $5,705.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,933.16 / $6,075.54 / $9,155.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.78 / $562.17 / $822.21