go back

Tennessee rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.02 / $1,029.02 / $1,124.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.96 / $1,086.19 / $1,926.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.76 / $2,058.51 / $2,058.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.61 / $1,499.97 / $1,499.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,094.98 / $1,499.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,875.18 / $12,090.55 / $14,485.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,368.35 / $16,761.20 / $17,154.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.72 / $1,141.07 / $1,637.03