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Tennessee rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.90 / $1,053.90 / $1,151.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.62 / $1,087.04 / $1,972.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.71 / $2,108.29 / $2,108.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.56 / $1,300.55 / $1,300.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $1,300.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.22 / $10,889.80 / $10,889.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,730.04 / $11,730.04 / $17,055.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.11 / $1,124.90 / $1,564.15