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Tennessee rates for HCPCS L3806

Wrist-hand-finger orthosis (WHFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.30 / $246.16 / $354.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.42 / $232.39 / $425.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.37 / $450.70 / $450.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $278.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.97 / $202.97 / $278.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.46 / $2,319.50 / $2,319.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.67 / $2,507.67 / $3,646.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.32 / $220.01 / $267.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.56 / $240.49 / $334.39