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Tennessee 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
$17.03 / $17.36 / $18.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $18.32 / $32.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $34.71 / $34.71
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.91 / $178.59 / $178.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $193.12 / $280.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $18.44 / $25.43