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Hand-Finger Orthosis (HFO), Custom Fabricated

Washington 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 $288 · 10th–90th $186$6760%20%10th90th$288Professionalmedian $251 · 10th–90th $158$6170%10%10th90th$251$2.0$10.0$50.0$200.0$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
$43.65
Median
$363.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$588.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$281.84
Typical High
$288.40
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$173.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$398.11
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$338.84
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$199.53
Typical High
$245.47
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$288.40
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$302.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$575.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$281.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$436.52
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$251.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$446.68