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Tennessee rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.82 / $260.83 / $260.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.82 / $284.63 / $506.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.54 / $451.54 / $602.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.71 / $541.85 / $541.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.82 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $382.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.05 / $3,201.26 / $3,210.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,997.65 / $3,997.65 / $4,905.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $300.36 / $452.54