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Tennessee rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.36 / $1,952.91 / $1,952.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.96 / $1,952.91 / $3,355.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,380.81 / $3,380.81 / $3,380.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,685.74 / $4,056.97 / $4,056.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,339.10 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,502.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,085.45 / $20,912.72 / $20,912.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,572.40 / $22,572.40 / $32,819.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.24 / $2,248.86 / $3,010.58