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Tennessee rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,646.09 / $2,697.98 / $2,697.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.09 / $2,894.73 / $4,729.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,710.42 / $5,604.76 / $5,604.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,328.84 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $4,366.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,702.07 / $33,390.44 / $39,440.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45,658.26 / $46,754.06 / $49,888.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.23 / $3,106.84 / $4,681.06