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New Jersey 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
$12.73 / $12.73 / $12.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $16.34 / $20.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $37.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $32.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $34.40 / $48.99
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $37.40 / $37.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.67 / $31.11