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Tennessee rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $95.50 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $51.29 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $75.86 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $48.98 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $56.23 / $70.79