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Tennessee rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.84 / $774.84 / $846.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.66 / $774.84 / $1,450.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.14 / $1,550.03 / $1,550.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.51 / $891.35 / $891.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.69 / $650.69 / $891.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.01 / $7,437.46 / $8,295.73
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,383.06 / $8,383.06 / $10,698.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.80 / $800.77 / $1,072.01