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Tennessee rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,220.08 / $2,263.61 / $2,263.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.08 / $2,278.19 / $4,257.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,113.05 / $4,702.41 / $4,702.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,792.66 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $3,745.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,802.17 / $27,462.75 / $33,025.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,404.35 / $35,230.05 / $39,263.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.76 / $2,606.65 / $3,919.69