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Louisiana 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
$20.85 / $22.14 / $29.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $20.85 / $24.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.58 / $57.37 / $80.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $27.38 / $27.38
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $24.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $18.32 / $27.61