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Nevada 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
$24.01 / $24.01 / $27.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.67 / $27.71 / $160.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $52.74 / $52.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.31 / $70.31 / $70.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.86 / $32.60 / $72.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $51.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $36.61 / $45.60
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.10 / $58.46 / $111.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $27.15 / $45.25