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Tennessee rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.69 / $373.88 / $373.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.69 / $375.56 / $642.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.19 / $776.70 / $776.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.30 / $582.20 / $582.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $425.01 / $582.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.79 / $4,473.42 / $5,042.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,695.77 / $5,695.77 / $6,472.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $430.54 / $648.70