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Tennessee rates for HCPCS L2128

Knee-ankle-foot orthosis (KAFO), fracture orthosis, femoral fracture cast orthosis, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.11 / $869.11 / $949.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.02 / $917.40 / $1,626.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.98 / $1,738.62 / $1,738.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.61 / $1,207.09 / $1,207.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $881.18 / $1,207.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,491.03 / $9,986.98 / $11,515.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,749.91 / $12,749.91 / $17,455.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.50 / $943.64 / $1,382.63