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Tennessee rates for HCPCS L2520

Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.50 / $233.50 / $255.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.17 / $255.12 / $437.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.23 / $467.10 / $467.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.42 / $324.30 / $324.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.74 / $236.74 / $324.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$959.18 / $2,792.04 / $3,287.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,321.60 / $3,321.60 / $4,795.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.62 / $253.52 / $389.64