go back

Tennessee rates for HCPCS L1280

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $48.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.85 / $45.50 / $83.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.16 / $79.44 / $89.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.95 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $73.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.66 / $510.63 / $615.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.20 / $689.36 / $783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $48.50 / $69.56