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Tennessee rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.72 / $986.69 / $986.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.72 / $1,063.61 / $1,695.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.95 / $2,049.75 / $2,049.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.41 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,654.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.75 / $12,123.54 / $14,424.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,944.43 / $17,351.09 / $18,330.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,136.22 / $1,711.94