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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
$467.74 / $512.86 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $741.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $6,606.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $512.86 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $741.31