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Hand-Finger Orthosis (HFO), Custom Fabricated

Utah rates for HCPCS L3913

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

Rates data updated October 2026.

How much does Hand-Finger Orthosis (HFO), Custom Fabricated cost?

$174

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $174 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$126 to $219
FacilityA hospital or hospital-owned outpatient department$174$85.11 to $302

How much rates vary

Facilitymedian $174 · 10th to 90th $85 to $302Professionalmedian $174 · 10th to 90th $85 to $269
$100$200$500facility $174professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$194.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$218.78
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$302.00
Typical High
$457.09
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Select Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Select Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$295.12
Typical High
$309.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$354.81
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$239.88

Where Utah sits

The same service costs 2.3 times more in Montana than in Delaware. 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· 28th of 51

$174

MT $295DE $129

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.