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Tennessee rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.06 / $54.06 / $59.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.06 / $55.77 / $101.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.59 / $108.15 / $108.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $75.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.39 / $634.55 / $761.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.91 / $889.74 / $901.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $59.42 / $86.01