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California 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
$20.58 / $27.82 / $326.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $20.58 / $82.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $56.77 / $118.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $20.75 / $35.69
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.45 / $54.16 / $80.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $78.36 / $115.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $29.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $26.43
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $25.70 / $41.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.45 / $26.19 / $58.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $178.59 / $178.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $193.12 / $280.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.84 / $115.84 / $115.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $33.74 / $38.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $24.80 / $35.61
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.61 / $70.61 / $70.61
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $29.94 / $32.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $18.52 / $51.16