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Tennessee rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.13 / $15.13 / $16.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $15.97 / $25.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $95.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $159.28 / $165.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.02 / $220.50 / $254.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $17.48 / $31.34