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Tennessee rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $9.36 / $10.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $9.66 / $17.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $18.73 / $18.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.98 / $96.08 / $96.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.06 / $103.06 / $151.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $9.11 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.94 / $13.87