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Dynamic Flexor Hinge Orthosis, Cable Driven

Pennsylvania 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?

$871

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $2,399 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 9 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$871$794 to $1,202
FacilityA hospital or hospital-owned outpatient department$2,399$724 to $2,818

How much rates vary

Facilitymedian $2,399 · 10th to 90th $724 to $5,129Professionalmedian $871 · 10th to 90th $724 to $1,622
$1K$2K$5K$10K$20K$50Kfacility $2,399professional $871

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
$724.44
Median
$724.44
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,621.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$3,801.89
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$1,819.70
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,818.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$1,698.24
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,981.07
Typical High
$6,918.31
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,698.24
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,995.26

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$871

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.