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Washington, DC 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
$22.67 / $22.67 / $22.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $22.67 / $32.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $29.11 / $37.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $26.73 / $26.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.01 / $36.01 / $109.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $27.64 / $41.53