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Tennessee rates for HCPCS L3930

Hand-finger orthosis (HFO), includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.75 / $41.75 / $45.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.98 / $44.07 / $78.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $83.53 / $83.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $53.85 / $53.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $53.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $456.49 / $545.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.57 / $551.57 / $646.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $46.30 / $67.45