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Tennessee rates for HCPCS L3702

Elbow Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.22 / $143.22 / $156.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.03 / $151.18 / $268.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.68 / $286.52 / $286.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $176.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.42 / $1,474.48 / $1,474.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.10 / $1,594.10 / $2,317.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.88 / $152.19 / $212.57