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Mississippi 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.63 / $52.01 / $217.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $37.22 / $52.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.14 / $45.14 / $45.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $45.14 / $45.14
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $27.35 / $41.84