go back

Tennessee rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $501.19 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $776.25 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $707.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $446.68 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $645.65