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Tennessee rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.48 / $232.96 / $232.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.21 / $232.96 / $400.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.29 / $403.29 / $403.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.38 / $483.95 / $483.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.58 / $260.88 / $260.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $260.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.27 / $2,277.66 / $2,486.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.85 / $2,677.85 / $3,024.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.67 / $262.67 / $315.07