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Tennessee rates for HCPCS L3260

Surgical boot/shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $6.22 / $6.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $7.34 / $18.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.03 / $45.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $14.30 / $14.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $84.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $21.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.77 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.59 / $90.05 / $104.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $8.00 / $10.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $7.19 / $12.91