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Tennessee rates for HCPCS L2020

Knee-ankle-foot orthosis (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.82 / $591.82 / $646.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.86 / $621.92 / $1,107.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.77 / $1,183.91 / $1,183.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.17 / $830.86 / $830.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.53 / $606.53 / $830.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,246.31 / $7,008.49 / $8,331.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,940.74 / $13,251.33 / $13,251.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.64 / $876.64 / $876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.51 / $642.58 / $941.50