go back

Tennessee rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.99 / $42.99 / $46.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $43.79 / $80.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.93 / $86.00 / $86.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.31 / $52.95 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $52.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.30 / $377.30 / $377.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.97 / $472.97 / $537.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $44.43 / $55.99