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Tennessee rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.01 / $71.01 / $77.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.67 / $73.22 / $132.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.05 / $142.06 / $142.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.90 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $99.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.62 / $730.97 / $730.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.38 / $790.38 / $1,149.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.50 / $75.45 / $105.39