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Tennessee rates for HCPCS L3202

Orthopedic shoe, Oxford with supinator or pronator, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $17.48 / $19.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $18.45 / $29.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $44.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $30.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.65 / $184.09 / $190.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.82 / $253.57 / $294.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $20.20 / $36.14