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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 July 2026.

Facilitymedian $162 · 10th–90th $85$3020%20%10th90th$162Professionalmedian $200 · 10th–90th $100$6610%10%20%10th90th$200$50.0$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
$85.11
Median
$125.89
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$218.78
Typical High
$295.12
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$302.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$213.80
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$309.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$131.83
Typical High
$204.17