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Tennessee rates for HCPCS L2114

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.19 / $294.19 / $321.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.74 / $336.09 / $550.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.60 / $588.52 / $588.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.54 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $408.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.08 / $3,518.89 / $4,141.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,535.78 / $4,644.63 / $6,534.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.48 / $319.42 / $468.02