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Rhode Island 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
$30.09 / $30.09 / $30.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $20.58 / $22.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.86 / $71.41 / $84.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.70 / $19.64 / $32.86
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 / $24.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.49 / $19.94 / $31.09