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Finger Orthosis (FO), PIP/DIP, Nontorsion Joint or Spring

Massachusetts 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

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $32$1150%20%10th90th$71Professionalmedian $50 · 10th–90th $25$830%20%10th90th$50$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$44.67
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$100.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$338.84
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$44.67
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$38.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Health New England
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Health New England
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$58.88
Typical High
$338.84
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$44.67
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.11
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$47.86
Typical High
$54.95