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

Maryland 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 $32 · 10th–90th $20$560%10%10th90th$32Professionalmedian $28 · 10th–90th $23$650%20%10th90th$28$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$64.57
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$36.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$56.23
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$26.92
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.84
Typical High
$44.67
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$47.86