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Tennessee rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.09 / $54.09 / $59.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.08 / $59.09 / $101.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.63 / $108.21 / $108.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $73.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.96 / $621.04 / $744.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.57 / $775.57 / $1,094.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $58.72 / $84.10