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Tennessee rates for HCPCS L2030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.46 / $513.46 / $561.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.96 / $541.99 / $961.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.99 / $1,027.15 / $1,027.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.05 / $713.15 / $713.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $520.60 / $713.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.01 / $6,073.14 / $7,228.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,833.15 / $8,021.16 / $10,990.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $564.29 / $857.68