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Tennessee rates for HCPCS L3919

Hand orthosis (HO), 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
$126.65 / $138.56 / $251.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.92 / $268.75 / $268.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.58 / $176.58 / $176.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $128.90 / $176.58
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