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Tennessee rates for HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.33 / $153.33 / $809.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.49 / $174.54 / $298.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.37 / $304.37 / $391.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $306.73 / $306.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $229.50 / $243.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.54 / $167.54 / $229.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.55 / $1,920.53 / $2,158.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.81 / $2,438.96 / $2,922.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $168.51 / $243.93