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Arizona rates for HCPCS L3927

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.43 / $85.43 / $85.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $20.57 / $73.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $35.49 / $64.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $32.74 / $44.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $24.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $44.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $16.47 / $178.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $17.09 / $25.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $17.09 / $25.75