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Tennessee rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,213.51 / $1,237.31 / $1,237.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.51 / $1,302.17 / $2,125.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.62 / $2,570.37 / $2,570.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.62 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $2,050.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,837.59 / $15,093.28 / $18,087.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,918.90 / $19,372.95 / $23,832.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,424.81 / $2,146.75