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Tennessee rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.63 / $148.49 / $148.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.63 / $148.49 / $255.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.21 / $308.45 / $308.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.86 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $220.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.69 / $1,599.48 / $1,599.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.73 / $1,710.73 / $2,545.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.99 / $170.99 / $230.38