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Tennessee rates for HCPCS L3933

Finger orthosis (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.83 / $105.83 / $179.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $115.63 / $205.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.17 / $188.17 / $188.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $211.70 / $211.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.59 / $130.59 / $130.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.33 / $95.33 / $130.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.54 / $1,089.41 / $1,089.41
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.86 / $1,177.86 / $1,712.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.23 / $112.96 / $157.07