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Tennessee rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.99 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $22.91 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $29.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $21.88 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.44 / $32.36