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Tennessee rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.60 / $620.53 / $620.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.60 / $627.10 / $1,167.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.39 / $1,289.08 / $1,289.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.62 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $895.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,434.38 / $7,595.27 / $8,339.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,690.21 / $8,690.21 / $11,821.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.38 / $714.57 / $1,076.64