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Tennessee rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.12 / $288.12 / $314.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.77 / $304.12 / $539.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.56 / $576.37 / $576.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.33 / $400.16 / $400.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $400.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.82 / $3,392.11 / $3,405.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,239.22 / $4,239.22 / $6,404.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $312.83 / $480.79