go back

Kansas 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
$31.87 / $52.64 / $719.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $38.01 / $58.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.69 / $57.69 / $57.69
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 / $36.61 / $104.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $56.46 / $286.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $34.45 / $58.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $32.32 / $50.14