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Tennessee rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.89 / $1,769.92 / $1,769.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.89 / $1,769.92 / $3,040.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.10 / $3,676.82 / $3,676.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.96 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $2,282.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,515.24 / $19,065.24 / $19,065.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,393.65 / $20,393.65 / $30,341.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.76 / $2,038.15 / $2,746.00