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Tennessee rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.89 / $275.19 / $275.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.97 / $275.19 / $472.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.40 / $476.40 / $635.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.45 / $571.67 / $571.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.16 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $459.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.28 / $3,120.86 / $3,426.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,002.47 / $4,002.47 / $4,548.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.26 / $316.89 / $455.84