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Vermont rates for HCPCS L3925

Finger Orthosis Proximal Interphalangeal (Pip)/Distal Interphalangeal (Dip) Non Torsion Joint/Spring Extension/Flexion May Include Soft Interface Material Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $28.07 / $34.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.23 / $27.86 / $172.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.55 / $46.55 / $46.55
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 / $39.03
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $36.61 / $39.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $34.99 / $66.48