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Tennessee rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.14 / $43.14 / $47.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $46.35 / $83.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $78.00 / $129.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $86.31 / $86.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.26 / $59.92 / $59.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.74 / $43.74 / $59.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.12 / $474.60 / $474.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.73 / $521.73 / $719.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $46.85 / $72.06