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Tennessee rates for HCPCS L1810

Knee orthosis (KO), elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $65.98 / $72.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $66.64 / $123.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.79 / $110.00 / $110.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.38 / $131.99 / $131.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $88.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.39 / $587.62 / $695.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.53 / $702.53 / $907.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $68.19 / $85.93