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North Carolina 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
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $28.84 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $38.02 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $29.51 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $44.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $33.88 / $56.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $16.98 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $26.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $281.84