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Tennessee rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,710.03 / $3,782.77 / $3,782.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.65 / $3,782.77 / $6,498.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,202.28 / $7,858.30 / $7,858.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,530.84 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $6,042.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,787.44 / $40,507.83 / $40,507.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,722.41 / $43,722.41 / $63,571.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,904.02 / $4,356.02 / $5,922.73