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Tennessee rates for HCPCS L2010

Knee-ankle-foot orthosis (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthosis), without knee joint, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.64 / $468.64 / $512.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.97 / $515.17 / $877.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.63 / $937.50 / $937.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.80 / $740.83 / $740.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.80 / $540.80 / $740.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,083.34 / $5,601.21 / $6,597.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,057.24 / $9,274.64 / $10,416.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.45 / $508.83 / $745.54