go back

Tennessee rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.38 / $2,390.35 / $2,390.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.38 / $2,390.35 / $4,106.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,287.34 / $4,965.71 / $4,965.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $3,728.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,621.01 / $26,807.65 / $29,247.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30,647.77 / $30,647.77 / $38,967.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.06 / $2,752.59 / $3,860.90