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Hand-Finger Orthosis (HFO), Custom Fabricated

South Dakota 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 $324 · 10th–90th $282$6920%20%10th90th$324Professionalmedian $263 · 10th–90th $158$3980%20%10th90th$263$100.0$200.0$500.0$1.0K

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
$281.84
Median
$323.59
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$338.84
Avera
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$1,479.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$323.59
Midlands
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$537.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$204.17
Typical High
$346.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40