go back

Tennessee rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.98 / $56.98 / $62.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $60.14 / $96.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $218.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $101.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.84 / $621.91 / $621.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.07 / $826.88 / $958.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $65.98 / $119.09