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Tennessee rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.22 / $334.65 / $334.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.68 / $334.65 / $574.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.23 / $695.21 / $695.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.33 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $389.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.81 / $3,225.13 / $3,225.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,687.45 / $3,687.45 / $4,676.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.91 / $377.32 / $479.40