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Iowa 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
$39.59 / $50.05 / $50.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $37.02 / $52.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $77.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $83.63 / $104.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.56 / $72.03 / $77.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.02 / $80.62 / $286.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $34.95 / $95.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.84 / $77.06 / $92.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.07 / $82.99 / $147.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $76.53 / $128.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $34.95 / $91.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $66.56 / $66.56