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

Tennessee 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 $46 · 10th–90th $27$3390%20%10th90th$46Professionalmedian $28 · 10th–90th $26$510%50%10th90th$28$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$26.30
Median
$28.84
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$27.54
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$36.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$31.62
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$27.54
Typical High
$38.90