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Tennessee rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.10 / $42.10 / $46.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $43.43 / $73.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $84.22 / $84.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $56.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $432.48 / $432.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.22 / $463.22 / $681.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $44.60 / $61.69