go back

Tennessee rates for HCPCS L5920

Addition, endoskeletal system, above knee (AK) or hip disarticulation, alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.60 / $275.89 / $275.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.60 / $277.14 / $473.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.63 / $477.63 / $477.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.43 / $573.16 / $573.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.41 / $397.94 / $397.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $290.50 / $397.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.73 / $3,385.23 / $3,385.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,203.14 / $4,203.14 / $4,776.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $317.70 / $478.70