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Tennessee rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.30 / $293.95 / $293.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.30 / $295.27 / $505.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.25 / $610.65 / $610.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.68 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $472.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.99 / $3,612.91 / $4,297.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.52 / $5,209.60 / $5,209.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.66 / $338.50 / $510.01