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Missouri 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
$19.98 / $22.89 / $67.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $20.71 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $29.20 / $29.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.17 / $40.08 / $176.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $20.75 / $31.41
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 / $18.10 / $26.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.32 / $31.07 / $178.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $19.05 / $45.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $19.05 / $38.38