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Tennessee rates for HCPCS L2116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.60 / $387.60 / $423.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.42 / $410.71 / $725.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.32 / $775.38 / $775.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.71 / $501.14 / $501.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.83 / $365.83 / $501.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.69 / $4,303.54 / $5,079.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,650.92 / $5,786.55 / $7,188.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.54 / $420.85 / $592.94