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

Minnesota 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 $123 · 10th–90th $62$5890%20%10th90th$123Professionalmedian $72 · 10th–90th $32$830%20%40%10th90th$72$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
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$39.81
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$275.42
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$95.50
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$588.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$72.44
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$28.84
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$0.43
Median
$26.92
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$36.31
Typical High
$100.00