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Tennessee rates for HCPCS L5971

All Lower Extremity Prosthesis Solid Ankle Cushion Heel (Sach) Foot Replacement Only

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
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $159.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.07 / $1,295.00 / $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