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Tennessee rates for HCPCS L3906

Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.24 / $234.43 / $234.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.16 / $224.78 / $391.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.49 / $388.00 / $651.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.10 / $418.57 / $418.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.85 / $293.31 / $293.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $214.12 / $293.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.94 / $2,269.46 / $2,758.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.89 / $2,787.89 / $3,376.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $227.18 / $324.12