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Tennessee rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $12.59 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $14.13 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.49 / $20.42