go back

Washington, DC 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
$15.31 / $15.31 / $15.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $15.31 / $20.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $27.82 / $27.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $18.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $24.32 / $74.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $18.67 / $39.26