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Rhode Island 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
$25.14 / $32.68 / $65.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.34 / $109.85 / $130.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.57 / $37.57 / $52.03
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.01 / $32.86 / $47.84