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Tennessee rates for HCPCS L1906

Ankle Foot Orthosis Multiligamentous Ankle Support Prefabricated Off-The-Shelf (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $76.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.88 / $70.94 / $130.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.24 / $139.34 / $139.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $86.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.90 / $722.40 / $858.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.27 / $1,314.05 / $1,314.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $73.79 / $101.82