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Tennessee rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.83 / $151.75 / $151.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $152.43 / $294.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.70 / $315.23 / $315.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.23 / $243.19 / $243.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $177.53 / $243.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.28 / $1,857.26 / $2,218.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,627.87 / $2,690.96 / $2,690.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.50 / $171.10 / $263.23