go back

Tennessee rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.03 / $124.03 / $135.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $130.91 / $232.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $275.68 / $421.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.26 / $248.11 / $248.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $143.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.55 / $98.55 / $135.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.75 / $1,281.52 / $1,281.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.26 / $1,380.26 / $2,007.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $132.38 / $184.07