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Maryland 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
Professional
Modifier
Low / Median / High Price
$22.67 / $28.82 / $65.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.11 / $29.11 / $37.86
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 / $36.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.78 / $55.40 / $79.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.37 / $27.64 / $44.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.60 / $32.60 / $38.78