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Tennessee rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $97,723.72 / $97,723.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107,151.93 / $154,881.66 / $154,881.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $12,302.69 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $10,232.93 / $14,125.38