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Tennessee rates for HCPCS L3912

Hand Finger Orthosis (Hfo) Flexion Glove With Elastic Finger Control Prefabricated Off-The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.67 / $47.67 / $52.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $50.32 / $89.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.13 / $95.36 / $95.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.89 / $66.37 / $66.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $66.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.65 / $557.39 / $662.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.67 / $711.32 / $784.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.24 / $51.76 / $78.56