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Tennessee rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Facilitymedian $1,202 · 10th–90th $631–$7,9430%20%10th90th$1,202Professionalmedian $776 · 10th–90th $631–$1,2590%20%40%10th90th$776$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$630.96 / $630.96 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $724.44 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,230.27
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,302.69 / $12,302.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,122.02 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $724.44 / $1,122.02