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Tennessee rates for HCPCS L3710

Elbow Orthosis Elastic With Metal Joints Pre- Fabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.92 / $71.92 / $78.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $75.91 / $134.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $143.87 / $143.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.84 / $85.16 / $85.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $62.17 / $85.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.78 / $717.68 / $724.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.66 / $810.66 / $1,066.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.16 / $75.88 / $102.42