go back

Alabama rates for HCPCS L3925

Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), nontorsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.52 / $52.52 / $52.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $52.52 / $52.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.03 / $43.03 / $43.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $72.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $36.61 / $63.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $27.15 / $40.89