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Tennessee rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Facilitymedian $78 · 10th–90th $48–$5250%20%10th90th$78Professionalmedian $49 · 10th–90th $43–$850%20%40%10th90th$49$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $48.98 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $47.86 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $72.44
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $776.25 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $47.86 / $69.18