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West Virginia 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 $28–$740%50%10th$74Professionalmedian $28 · 10th–90th $22–$420%20%10th90th$28$20.0$50.0$100.0$200.0

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
$28.18 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $295.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $26.92 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.90 / $47.86