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Tennessee rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.75 / $54.75 / $59.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $56.48 / $102.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $109.52 / $109.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.14 / $563.71 / $563.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.50 / $609.50 / $886.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $58.18 / $80.23