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Montana 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 $54 · 10th–90th $36–$1580%20%40%10th90th$54Professionalmedian $44 · 10th–90th $28–$1000%20%10th90th$44$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $57.54 / $57.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $104.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $53.70 / $104.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $54.95 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $57.54 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $28.84 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $41.69