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Tennessee rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $53.70 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $54.95 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $87.10 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $562.34 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $54.95 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $69.18 / $87.10