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Tennessee rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $19.05 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.20 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $21.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $16.98 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.20 / $24.55