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New Jersey 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
$18.51 / $18.52 / $18.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $27.49 / $44.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $54.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $26.73 / $57.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.71 / $50.07 / $71.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.14 / $54.42 / $54.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.53 / $27.98 / $54.42