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Tennessee rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.64 / $953.99 / $953.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.26 / $953.99 / $1,638.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.98 / $1,981.80 / $1,981.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.65 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,222.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,972.70 / $10,198.75 / $10,198.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,026.37 / $11,026.37 / $16,032.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.37 / $1,098.56 / $1,470.66