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Tennessee rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $117.49 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $89.13 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $107.15 / $134.90