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Tennessee rates for HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $43.70 / $47.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.89 / $46.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $83.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $69.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.08 / $477.00 / $477.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.32 / $635.77 / $735.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $50.50 / $85.96