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Tennessee rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.97 / $270.97 / $296.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.95 / $295.99 / $452.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.84 / $542.04 / $542.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.82 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $372.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.84 / $3,004.61 / $3,528.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,565.78 / $3,565.78 / $5,304.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.32 / $287.07 / $398.76