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Hand-Finger Orthosis (HFO), Custom Fabricated

Montana rates for HCPCS L3913

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $186$8910%20%40%10th90th$295Professionalmedian $257 · 10th–90th $115$6460%20%10th90th$257$100.0$500.0$2.0K$10.0K$50.0K

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
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$316.23
Typical High
$316.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$295.12
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$234.42
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$204.17