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Tennessee rates for HCPCS L1846

Knee orthosis (KO), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.71 / $647.71 / $707.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.71 / $660.86 / $1,133.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.78 / $1,151.74 / $1,295.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.42 / $840.60 / $840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $613.64 / $840.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.90 / $6,648.31 / $7,970.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,054.69 / $8,087.45 / $11,389.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.83 / $686.22 / $945.81