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Tennessee rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $138.91 / $151.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.72 / $141.47 / $260.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $277.88 / $277.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.80 / $225.30 / $225.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $164.47 / $225.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.57 / $1,533.12 / $1,822.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.67 / $2,161.35 / $2,161.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.69 / $150.83 / $216.23