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Tennessee rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.78 / $39.54 / $39.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $39.54 / $67.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.38 / $73.02 / $82.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.30 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $50.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.21 / $423.35 / $423.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.96 / $456.96 / $663.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.36 / $45.53 / $60.93