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Tennessee rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.34 / $64.34 / $70.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $67.93 / $120.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.22 / $128.74 / $128.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $89.11 / $89.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $89.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.97 / $757.36 / $830.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.09 / $899.09 / $1,404.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.57 / $69.13 / $100.55