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Tennessee rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.02 / $199.02 / $217.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.33 / $217.59 / $352.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.78 / $331.78 / $442.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.57 / $398.13 / $398.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.46 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $251.87 / $345.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.73 / $2,336.91 / $2,801.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.25 / $3,730.68 / $4,423.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.13 / $216.09 / $316.61