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Tennessee rates for HCPCS L3808

Wrist-hand-finger orthosis (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.60 / $220.32 / $346.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.60 / $181.01 / $317.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $294.70 / $515.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.40 / $331.41 / $331.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.36 / $233.36 / $233.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $170.35 / $233.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.39 / $1,920.30 / $2,312.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,544.30 / $2,605.37 / $3,256.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.47 / $179.88 / $274.35