go back

Tennessee rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.17 / $1,468.41 / $1,468.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.17 / $1,483.94 / $2,543.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,542.06 / $2,542.06 / $2,542.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.44 / $3,050.47 / $3,050.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.76 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $2,117.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,212.67 / $17,754.05 / $20,855.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,074.59 / $21,074.59 / $31,063.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,690.94 / $2,547.73