go back

Montana 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
$20.57 / $20.57 / $104.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $40.72 / $40.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $33.11 / $40.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $38.78 / $40.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $30.56 / $40.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $17.09 / $19.57