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Tennessee rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $13.45 / $14.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $14.19 / $22.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $46.23 / $46.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $33.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $141.59 / $146.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.28 / $194.77 / $226.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $15.57 / $27.65