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Oklahoma 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
$28.01 / $28.01 / $28.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.97 / $28.01 / $65.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.39 / $47.39 / $47.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.87 / $51.87 / $51.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $36.61 / $36.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $35.57 / $286.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $28.31 / $58.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $27.15 / $38.95