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Pennsylvania 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
$15.40 / $17.04 / $82.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $20.56 / $51.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.49 / $37.42 / $37.42
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
$34.40 / $37.40 / $71.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $33.95 / $70.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $28.07 / $39.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $75.44 / $120.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $20.57 / $61.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $18.50 / $73.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $37.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $44.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.75 / $35.61 / $35.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.75 / $35.61 / $36.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $18.75 / $33.74