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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
$186.21 / $204.17 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,467.37 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $204.17 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $204.17 / $295.12