go back

Tennessee rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.68 / $837.79 / $837.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.68 / $841.55 / $1,498.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.35 / $1,450.35 / $1,450.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.17 / $1,740.42 / $1,740.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.69 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,226.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,243.81 / $10,120.69 / $11,298.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,840.43 / $12,840.43 / $14,503.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $964.75 / $1,453.59