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Tennessee rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.40 / $202.40 / $221.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.63 / $202.40 / $378.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.04 / $404.88 / $404.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.35 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $218.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.98 / $1,743.72 / $1,743.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.38 / $2,159.38 / $3,374.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $203.79 / $263.60