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Tennessee rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.58 / $105.61 / $105.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.58 / $106.08 / $181.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.24 / $219.38 / $219.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.30 / $184.91 / $184.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $184.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.77 / $1,287.83 / $1,456.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.02 / $1,472.02 / $1,828.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.06 / $121.61 / $183.23