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Tennessee rates for HCPCS L3360

Sole Wedge Outside Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.41 / $19.41 / $21.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $20.02 / $36.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.83 / $38.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $26.67 / $26.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $19.47 / $26.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $199.79 / $199.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.93 / $215.93 / $314.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.35 / $20.62 / $28.80