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Tennessee rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.65 / $25.65 / $28.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $26.45 / $48.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $51.31 / $51.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $36.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $31.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.07 / $264.05 / $264.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.55 / $285.55 / $415.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.11 / $25.04 / $30.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $27.26 / $38.03