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Tennessee rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,634.35 / $2,686.01 / $2,686.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.35 / $2,686.34 / $4,954.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,693.95 / $5,579.90 / $5,579.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,299.68 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $4,865.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,579.34 / $33,007.53 / $39,095.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,658.93 / $47,778.75 / $47,778.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,062.04 / $3,093.05 / $4,640.05