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Tennessee rates for HCPCS L4110

Replace Leather Cuff Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.98 / $42.98 / $46.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.19 / $48.19 / $80.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $85.99 / $85.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.07 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $61.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.97 / $510.12 / $605.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.70 / $693.95 / $944.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.78 / $46.67 / $68.38