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North Carolina rates for HCPCS L3927

Finger Orthosis 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 (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.78 / $33.78 / $58.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $33.78 / $33.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.93 / $37.11 / $70.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $28.93 / $30.86
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 / $44.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $33.78 / $45.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.99 / $28.99 / $28.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.90 / $44.90 / $69.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $19.25 / $30.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $178.59 / $178.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $280.50 / $280.50