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Connecticut rates for HCPCS L3925

Finger Orthosis Proximal Interphalangeal (Pip)/Distal Interphalangeal (Dip) Non Torsion Joint/Spring Extension/Flexion May Include Soft Interface Material Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $27.96 / $73.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $27.96 / $32.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.59 / $57.53 / $65.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $34.72
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 / $36.61
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $37.39 / $37.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.36 / $37.39 / $50.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $28.70 / $47.84