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Tennessee rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $42.66 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.65 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $50.12 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $79.43