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Tennessee rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.78 / $876.78 / $957.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.54 / $896.84 / $1,641.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.14 / $1,753.96 / $1,753.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.63 / $1,212.63 / $1,212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $885.22 / $1,212.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.06 / $9,141.02 / $10,896.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,504.73 / $13,828.86 / $13,828.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.16 / $929.83 / $1,292.91