go back

Tennessee rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.02 / $186.02 / $203.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.57 / $200.59 / $348.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.35 / $372.11 / $372.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.02 / $273.20 / $273.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $273.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.21 / $2,218.98 / $2,618.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,204.05 / $3,280.95 / $3,480.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $201.97 / $310.41