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Colorado 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
$30.48 / $83.03 / $112.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $32.67 / $65.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.42 / $61.15 / $111.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $36.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $26.73 / $74.97
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $30.48 / $78.05
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $17.53 / $17.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.72 / $68.03 / $107.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $27.15 / $40.89