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Tennessee rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.21 / $171.21 / $187.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.04 / $187.06 / $333.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.73 / $342.50 / $342.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $234.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $211.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.61 / $1,762.49 / $1,762.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.35 / $1,905.35 / $2,770.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.57 / $185.89 / $254.09