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Tennessee rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.73 / $27.73 / $30.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $28.60 / $51.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.72 / $55.48 / $55.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.36 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.32 / $285.48 / $285.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.61 / $308.61 / $448.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $29.79 / $41.16