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Tennessee rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $46.45 / $50.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $47.89 / $86.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.52 / $92.93 / $92.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $164.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $69.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.34 / $478.20 / $478.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.82 / $516.82 / $751.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.34 / $50.44 / $71.06