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Dynamic Flexor Hinge Orthosis, Cable Driven

Montana rates for HCPCS L3901

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Rates data updated July 2026.

How much does Dynamic Flexor Hinge Orthosis, Cable Driven cost?

$1,820

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,239 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$851 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,239$1,738 to $2,399

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,380 to $2,754Professionalmedian $1,738 · 10th to 90th $575 to $4,365
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $1,738

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,230.27
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,398.83
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,398.83
Typical High
$2,398.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$4,365.16
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$4,365.16
Providence
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,089.30
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,778.28
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,348.96

Where Montana sits

The same service costs 3.3 times more in Hawaii than in Washington, DC. 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.

Montana· 5th of 51

$1,820

HI $2,399DC $724

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.