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Hand-Finger Orthosis (HFO), Flexion Glove

Wisconsin rates for HCPCS L3912

Hand-finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $81$2400%20%40%10th90th$117Professionalmedian $110 · 10th–90th $59$1950%20%10th90th$110$0.1$0.5$2.0$10.0$50.0$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
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$269.15
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$169.82
Typical High
$223.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$144.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$114.82
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Network Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$229.09
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$144.54
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$114.82
Typical High
$138.04
Quartz
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$177.83
Typical High
$316.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$239.88
Typical High
$562.34
Quartz
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$173.78
Typical High
$707.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$60.26
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$57.54
Typical High
$107.15