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Tennessee rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.25 / $22.25 / $24.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.84 / $23.51 / $41.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.47 / $44.51 / $44.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $30.91 / $30.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $22.56 / $30.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.38 / $263.25 / $313.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.51 / $316.51 / $405.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $24.45 / $37.13