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Tennessee rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,570.88 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $398.11 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $457.09