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Tennessee rates for HCPCS L1640

Hip orthosis (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.87 / $233.87 / $255.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.54 / $255.53 / $437.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.73 / $467.86 / $467.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.87 / $379.04 / $379.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $379.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.09 / $2,777.77 / $2,777.77
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.29 / $3,176.29 / $4,555.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.90 / $259.33 / $370.76