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Tennessee rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.31 / $178.74 / $178.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $178.74 / $334.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.81 / $371.32 / $371.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.14 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $239.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.66 / $1,982.96 / $2,347.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.21 / $2,447.21 / $2,780.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $205.83 / $283.95