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Tennessee rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.90 / $119.90 / $131.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $131.00 / $209.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.79 / $239.86 / $239.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.81 / $175.81 / $175.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.34 / $128.34 / $175.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.47 / $1,417.95 / $1,687.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.79 / $1,897.25 / $1,998.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $131.77 / $190.75