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Tennessee rates for HCPCS L3984

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.21 / $202.21 / $220.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.90 / $213.44 / $378.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.74 / $359.56 / $606.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.79 / $404.51 / $404.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.82 / $237.10 / $237.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.08 / $173.08 / $237.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.27 / $2,002.53 / $2,403.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.42 / $2,428.42 / $3,044.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.47 / $214.23 / $285.14