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Tennessee rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.18 / $50.18 / $54.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.46 / $50.18 / $93.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.44 / $100.39 / $100.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.56 / $71.02 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $71.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.29 / $457.61 / $480.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.37 / $511.38 / $639.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $51.85 / $67.43