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Dynamic Flexor Hinge Orthosis, Cable Driven

Utah 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?

$1,122

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $891 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 7 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$1,175$794 to $2,239
FacilityA hospital or hospital-owned outpatient department$891$575 to $2,291

How much rates vary

Facilitymedian $891 · 10th to 90th $575 to $2,291Professionalmedian $1,175 · 10th to 90th $575 to $9,333
$1K$2K$5K$10Kfacility $891professional $1,175

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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,659.59
Typical High
$2,137.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,238.72
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,187.76
Typical High
$2,290.87
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,290.87
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,348.96

Where Utah 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.

Utah· 25th of 51

$1,122

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.