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

New Mexico 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 July 2026.

Facilitymedian $36 · 10th–90th $17$720%10%10th90th$36Professionalmedian $35 · 10th–90th $27$1620%10%10th90th$35$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$32.36
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$41.69
Typical High
$72.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$29.51
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$26.92
Typical High
$40.74