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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

Facilitymedian $74 · 10th–90th $59$1350%20%40%10th90th$74Professionalmedian $50 · 10th–90th $27$1050%20%10th90th$50$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $169.82 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $104.71 / $138.04
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $58.88 / $91.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $112.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $72.44 / $288.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $77.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $58.88 / $75.86
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $83.18 / $144.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $169.82
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $147.91 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $53.70 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $31.62 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $61.66