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Tennessee rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.67 / $1,186.48 / $1,186.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.67 / $1,191.81 / $2,302.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.72 / $2,464.79 / $2,464.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.92 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,711.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.97 / $14,301.99 / $17,184.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,908.25 / $17,908.25 / $20,539.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $1,366.29 / $2,105.41