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Tennessee rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.59 / $1,030.59 / $1,126.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.52 / $1,074.09 / $1,928.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.84 / $2,061.67 / $2,061.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.53 / $1,544.16 / $1,544.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,544.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,579.28 / $10,889.05 / $12,754.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,954.09 / $15,313.01 / $15,313.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.88 / $1,095.11 / $1,513.50