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Tennessee rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.62 / $132.62 / $144.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.16 / $139.99 / $248.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.64 / $265.30 / $265.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.58 / $190.69 / $190.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $190.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.12 / $1,539.25 / $1,866.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.34 / $1,966.23 / $2,947.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.04 / $145.75 / $210.98