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Tennessee rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.31 / $159.31 / $174.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.21 / $164.32 / $298.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.98 / $318.69 / $318.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $212.98 / $212.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $212.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.28 / $1,640.11 / $1,640.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.08 / $1,773.08 / $2,578.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.77 / $169.28 / $236.45