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Tennessee rates for HCPCS L2320

Addition to lower extremity, nonmolded lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.28 / $104.28 / $113.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.35 / $117.25 / $195.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.03 / $197.03 / $197.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.11 / $208.62 / $208.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.90 / $144.84 / $144.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $105.73 / $144.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.18 / $1,226.72 / $1,468.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.54 / $1,483.54 / $2,080.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $113.23 / $165.90