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Tennessee rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.69 / $95.69 / $104.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.55 / $98.70 / $179.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $191.41 / $191.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.69 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $150.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.49 / $1,107.57 / $1,107.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.72 / $1,403.72 / $1,595.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $106.10 / $159.83