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New Hampshire 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
$21.05 / $21.41 / $70.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $16.34 / $22.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.40 / $37.40 / $44.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.75 / $20.75 / $21.86
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 / $18.10 / $24.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.28 / $30.28 / $93.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $18.64 / $30.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.43 / $26.87 / $34.20