go back

Tennessee rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.52 / $377.52 / $412.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.53 / $398.50 / $706.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.97 / $671.31 / $755.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.55 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $382.77 / $524.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.52 / $4,501.32 / $5,314.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,538.31 / $5,538.31 / $8,391.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.08 / $409.90 / $600.59