go back

Tennessee rates for HCPCS L0830

Halo procedure, cervical halo incorporated into Milwaukee type orthotic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.37 / $1,589.37 / $1,736.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.94 / $1,677.67 / $2,974.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.84 / $3,179.47 / $3,179.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.38 / $2,507.59 / $2,507.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.54 / $1,830.54 / $2,507.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.26 / $18,505.52 / $22,374.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,060.61 / $28,734.08 / $28,734.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.96 / $1,725.67 / $2,528.44