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Idaho 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
$14.74 / $25.25 / $32.76
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 / $24.80 / $26.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $28.12 / $37.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $35.54 / $37.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.76 / $36.54 / $54.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.19 / $27.15 / $39.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $17.09 / $27.11