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Tennessee rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.81 / $500.44 / $500.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.19 / $500.44 / $875.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.23 / $1,039.60 / $1,039.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.26 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $875.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.78 / $5,634.02 / $6,185.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,301.80 / $6,301.80 / $8,127.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.18 / $576.28 / $814.56