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Tennessee rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.09 / $744.41 / $744.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.74 / $744.41 / $1,278.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.75 / $1,546.43 / $1,546.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.86 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $908.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,319.64 / $6,807.72 / $6,807.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,505.34 / $8,505.34 / $9,665.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.76 / $849.57 / $1,008.62