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

Missouri 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 October 2026.

How much does Finger Orthosis (FO), PIP/DIP, Nontorsion Joint or Spring cost?

$34.67

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $58.88 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$31.62 to $41.69
FacilityA hospital or hospital-owned outpatient department$58.88$38.02 to $257

How much rates vary

Facilitymedian $59 · 10th to 90th $36 to $288Professionalmedian $35 · 10th to 90th $27 to $71
$20$50$100$200facility $59professional $35

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$41.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$38.90
Typical High
$42.66
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$331.13
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$35.48
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$23.99
Median
$26.30
Typical High
$48.98
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$36.31
Medica
Setting
Facility
Modifier
None
Typical Low
$30.90
Median
$69.18
Typical High
$288.40
Medica
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$34.67
Typical High
$338.84
United
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$32.36
Typical High
$53.70
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$3.24
Median
$3.24
Typical High
$33.88

Where Missouri sits

The same service costs 2.8 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 32nd of 51

$34.67

HI $75.86DE $26.92

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.