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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
$41.69 / $46.77 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $52.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $35.48 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $43.65 / $53.70