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Tennessee rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.41 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $8.71 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.76 / $13.49