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Virginia 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
$18.50 / $18.50 / $56.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $18.50 / $22.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.42 / $37.42 / $39.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.75 / $20.75 / $25.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $27.82 / $27.82
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.19 / $33.68 / $44.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $20.91 / $41.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.99 / $45.00 / $62.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.09 / $28.99 / $47.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $28.99 / $47.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $18.67 / $29.46