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Florida 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
$24.86 / $30.64 / $56.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.13 / $30.48 / $50.99
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 / $39.03
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.76 / $35.76 / $45.09
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.35 / $42.43 / $58.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $35.78 / $39.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.01 / $28.79 / $38.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.78 / $35.78 / $35.78