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North Dakota 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
$39.59 / $39.59 / $39.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.67 / $32.67 / $50.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.88 / $60.16 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $84.46 / $106.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $47.87 / $286.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $29.95 / $45.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $29.95 / $54.42