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Tennessee rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.84 / $12.84 / $14.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $13.24 / $24.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.68 / $25.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.55 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $15.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $131.74 / $131.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.22 / $141.22 / $207.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $13.64 / $19.00