go back

Tennessee rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.30 / $53.30 / $58.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.07 / $56.26 / $99.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.85 / $118.46 / $177.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.58 / $106.61 / $106.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.83 / $68.22 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $49.80 / $68.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.09 / $535.05 / $637.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.47 / $855.54 / $855.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $56.63 / $75.68