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Tennessee rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.31 / $1,824.40 / $1,824.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.31 / $1,843.52 / $3,337.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,509.02 / $3,789.99 / $3,789.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.78 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,456.42 / $3,364.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,802.89 / $21,225.02 / $23,010.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,979.78 / $23,979.78 / $31,925.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.58 / $2,100.88 / $3,057.88