go back

Hawaii 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
Professional
Modifier
Low / Median / High Price
$15.85 / $20.42 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $33.11 / $46.77
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.02 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $40.74