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Tennessee rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $32 · 10th–90th $19–$2290%20%10th90th$32Professionalmedian $20 · 10th–90th $17–$340%20%40%10th90th$20$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.50 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.50 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $23.44 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $34.67