go back

Tennessee rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,019.95 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $4,073.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $33,113.11 / $33,113.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36,307.81 / $41,686.94 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,715.35 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,951.21 / $4,168.69