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Tennessee rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.38 / $160.38 / $175.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $165.44 / $300.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.42 / $320.86 / $320.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.01 / $197.94 / $197.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $144.50 / $197.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $1,651.29 / $1,651.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.33 / $1,785.33 / $2,595.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.57 / $171.20 / $237.83