go back

Tennessee rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $30.20 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $29.51 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $26.92 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $29.51 / $38.90