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Tennessee rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $45.71 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $57.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $100.00