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Tennessee rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.76 / $132.76 / $145.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.83 / $135.22 / $249.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.21 / $256.12 / $257.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.34 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $214.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.42 / $1,096.95 / $1,096.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.36 / $1,717.79 / $1,717.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.85 / $155.03 / $223.17