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Kentucky 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
$19.82 / $20.29 / $31.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $20.56 / $22.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $28.63 / $28.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.01 / $38.57 / $40.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $16.48 / $28.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.93 / $53.73 / $61.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $47.98 / $63.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $45.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $24.80 / $183.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $22.50 / $27.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $18.84 / $30.53