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Vermont 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
Professional
Modifier
Low / Median / High Price
$18.25 / $18.25 / $22.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.97 / $124.97 / $144.66
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 / $26.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.80 / $24.80 / $24.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $24.80 / $26.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $28.10 / $43.23