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Tennessee rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,230.27 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,621.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $18,197.01 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $1,584.89