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Tennessee rates for HCPCS L5822

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.46 / $885.49 / $885.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.46 / $894.85 / $1,521.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.77 / $1,839.50 / $1,839.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.54 / $1,367.82 / $1,367.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $1,367.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,759.25 / $10,228.89 / $10,228.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,164.54 / $12,164.54 / $19,007.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.65 / $1,347.44 / $1,534.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,019.68 / $1,536.34