go back

Louisiana 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
$32.01 / $33.97 / $140.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $33.97 / $65.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.55 / $88.07 / $123.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $42.06 / $42.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.45 / $83.45 / $83.45
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 / $36.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $27.55 / $41.84