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Tennessee rates for HCPCS L1860

Knee orthosis (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.86 / $565.86 / $618.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.38 / $597.29 / $1,059.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.39 / $1,131.98 / $1,131.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.20 / $755.39 / $755.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.42 / $551.42 / $755.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,208.69 / $6,411.18 / $7,656.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,001.72 / $8,193.78 / $11,043.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.32 / $603.10 / $876.53