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Tennessee rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $19,953 · 10th–90th $12,303–$138,0380%20%10th90th$19,953Professionalmedian $13,804 · 10th–90th $12,303–$24,5470%20%40%10th90th$13,804$20.0$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $13,803.84 / $24,547.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $16,218.10
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138,038.43 / $138,038.43 / $138,038.43
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147,910.84 / $213,796.21 / $213,796.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $19,498.45 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $14,125.38 / $19,498.45