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Tennessee rates for HCPCS L3500

Orthopedic Shoe Addition Insole Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $15.96 / $17.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $16.46 / $29.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $31.92 / $31.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $23.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $164.13 / $164.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.29 / $177.29 / $258.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $15.57 / $18.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $16.96 / $23.66