go back

Tennessee rates for HCPCS L3913

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.34 / $134.34 / $146.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.85 / $141.80 / $253.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.86 / $238.86 / $238.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.92 / $268.75 / $268.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $127.75 / $175.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.58 / $1,382.94 / $1,382.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.20 / $1,495.20 / $2,173.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $143.38 / $199.38