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Tennessee rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.20 / $177.20 / $193.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.91 / $187.04 / $331.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.67 / $354.47 / $354.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.53 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $246.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.52 / $2,095.14 / $2,095.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.81 / $2,498.81 / $3,160.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $192.39 / $295.98