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Tennessee rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.58 / $1,557.53 / $1,557.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.58 / $1,573.86 / $2,708.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,696.34 / $2,696.34 / $2,696.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.00 / $3,235.61 / $3,235.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,921.54 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $2,160.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.83 / $18,029.93 / $18,674.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,461.27 / $19,461.27 / $27,934.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.71 / $1,793.56 / $2,598.46