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Tennessee rates for HCPCS L5280

Hemipelvectomy 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
$2,614.17 / $2,665.44 / $2,665.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,614.17 / $2,665.44 / $4,863.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,665.66 / $5,537.17 / $5,537.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,266.69 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,728.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,026.46 / $34,402.54 / $38,704.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,107.80 / $53,358.39 / $53,358.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,046.25 / $3,069.37 / $4,593.64