go back

Tennessee rates for HCPCS L3002

Foot Insert Removable Molded To Patient Model Plastazote Or Equal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.02 / $88.02 / $96.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.65 / $90.78 / $164.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.57 / $176.08 / $176.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.45 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $129.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.68 / $906.14 / $906.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.57 / $979.57 / $1,424.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $93.53 / $128.97