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Tennessee rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $30.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $28.60 / $51.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $55.48 / $55.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.36 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $34.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.32 / $285.48 / $285.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.61 / $308.61 / $448.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $29.47 / $41.16