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Tennessee rates for HCPCS L0710

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, with interface material, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.83 / $1,280.83 / $1,399.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.81 / $1,280.83 / $2,397.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.25 / $2,562.26 / $2,562.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.70 / $1,549.06 / $1,549.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.81 / $1,130.81 / $1,549.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,448.37 / $12,388.80 / $14,901.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,058.46 / $15,058.46 / $17,732.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.88 / $1,351.57 / $1,768.21