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Tennessee rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.07 / $43.07 / $47.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.27 / $47.05 / $75.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $86.16 / $86.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.17 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.33 / $501.46 / $606.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.59 / $723.56 / $806.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $47.33 / $71.94