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Tennessee rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.28 / $34.28 / $37.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $36.04 / $64.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.78 / $64.78 / $64.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.41 / $68.59 / $68.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $54.54 / $54.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $54.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.40 / $416.19 / $482.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.17 / $580.77 / $614.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $38.02 / $54.54