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

Wisconsin 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 $74 · 10th–90th $45$1350%20%40%10th90th$74Professionalmedian $68 · 10th–90th $34$1100%20%10th90th$68$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
$36.31
Median
$44.67
Typical High
$45.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$169.82
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$107.15
Typical High
$138.04
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$91.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$89.13
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$72.44
Typical High
$288.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$36.31
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$58.88
Typical High
$75.86
Network Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Network Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$144.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$91.20
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$70.79
Typical High
$72.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$107.15
Typical High
$162.18
Quartz
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$147.91
Typical High
$295.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$109.65
Typical High
$346.74
Security Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$31.62
Typical High
$74.13
United
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$36.31
Typical High
$74.13