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Tennessee rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.89 / $595.34 / $595.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.89 / $598.01 / $1,155.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.75 / $1,236.75 / $1,236.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.54 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,036.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.80 / $7,109.86 / $8,703.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,440.37 / $9,666.95 / $10,306.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.04 / $685.56 / $1,032.93