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Tennessee rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,697.25 / $2,750.14 / $2,750.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,659.57 / $2,750.14 / $4,724.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,782.14 / $5,713.13 / $5,713.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.49 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $3,790.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,388.70 / $32,412.74 / $38,417.86
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51,633.18 / $52,872.39 / $52,872.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.27 / $3,166.90 / $4,559.63