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Dynamic Flexor Hinge Orthosis, Cable Driven

New Hampshire 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?

$1,202

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,820 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$1,148$1,000 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,820$1,202 to $1,950

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,000 to $2,188Professionalmedian $1,148 · 10th to 90th $851 to $1,549
$1K$2K$5Kfacility $1,820professional $1,148

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
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,187.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,096.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$912.01
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,148.15
Typical High
$1,548.82
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,511.89

Where New Hampshire 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.

New Hampshire· 17th of 51

$1,202

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.