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Tennessee rates for HCPCS L1830

Knee Orthosis Immobilizer Canvas Longitudinal Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.40 / $95.70 / $100.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $45.71 / $83.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.09 / $98.69 / $130.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.80 / $88.82 / $97.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $67.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.39 / $340.47 / $340.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.72 / $628.42 / $628.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $56.81 / $74.06