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Tennessee rates for HCPCS L2037

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.61 / $866.61 / $946.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.56 / $914.75 / $1,622.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.67 / $1,733.62 / $1,733.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.03 / $1,172.51 / $1,172.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.93 / $855.93 / $1,172.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,698.97 / $9,934.14 / $11,884.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,009.26 / $12,009.26 / $18,494.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.65 / $930.99 / $1,343.01