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Tennessee rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $89.13 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $112.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $89.13 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $128.82