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

Utah 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 October 2026.

How much does Finger Orthosis (FO), PIP/DIP, Nontorsion Joint or Spring cost?

$36.31

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $36.31 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$26.92 to $39.81
FacilityA hospital or hospital-owned outpatient department$36.31$17.38 to $54.95

How much rates vary

Facilitymedian $36 · 10th to 90th $17 to $55Professionalmedian $36 · 10th to 90th $17 to $54
$20$50facility $36professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$17.38
Typical High
$34.67
Cigna
Setting
Facility
Modifier
None
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$36.31
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$54.95
Typical High
$83.18
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$48.98
Select Health
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Select Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$54.95
Typical High
$69.18
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$45.71
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$26.92
Typical High
$46.77

Where Utah sits

The same service costs 2.8 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 25th of 51

$36.31

HI $75.86DE $26.92

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.