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Tennessee rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.58 / $49.58 / $54.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $49.58 / $92.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $99.19 / $99.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.76 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.21 / $468.00 / $553.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.48 / $610.79 / $662.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $51.25 / $65.73