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Tennessee rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

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 / $47.14 / $83.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $120.00 / $130.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $86.31 / $86.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.32 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.68 / $44.68 / $61.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $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 / $47.84 / $75.06