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Tennessee rates for HCPCS L5280

Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Facilitymedian $4,677 · 10th–90th $2,630$35,4810%20%10th90th$4,677Professionalmedian $3,236 · 10th–90th $2,630$5,1290%20%40%10th90th$3,236$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,235.94 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $4,677.35
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $35,481.34
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,570.88 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,019.95 / $4,570.88