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Michigan 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

Facilitymedian $74 · 10th–90th $35$2880%10%10th90th$74Professionalmedian $38 · 10th–90th $26$720%20%10th90th$38$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $218.78 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $67.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $138.04 / $151.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $89.13
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $58.88 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $51.29