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

South Carolina 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 $79 · 10th–90th $29$910%20%10th90th$79Professionalmedian $32 · 10th–90th $26$660%20%10th90th$32$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
$89.13
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$97.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$45.71
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$79.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$40.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$42.66
Typical High
$87.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$33.88
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.84
Typical High
$40.74