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Tennessee rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $87.10 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $89.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $70.79 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $102.33