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Tennessee rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.23 / $66.52 / $66.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $70.02 / $114.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $115.16 / $115.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $138.19 / $138.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.07 / $99.32 / $99.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $99.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.77 / $799.68 / $818.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.46 / $1,019.46 / $1,206.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $75.00 / $115.39