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Oregon 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
Professional
Modifier
Low / Median / High Price
$32.67 / $41.04 / $163.00
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 / $26.73 / $36.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $115.06 / $150.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.59 / $56.22 / $68.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.87 / $64.31 / $71.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.14 / $59.86 / $68.41
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.42 / $68.41 / $68.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $59.91 / $71.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $59.91 / $75.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.00 / $113.78 / $240.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.83 / $75.25 / $75.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $27.15 / $52.04