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Hand-Finger Orthosis (HFO), Custom Fabricated

Wisconsin 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 $302 · 10th–90th $151$5500%20%10th90th$302Professionalmedian $282 · 10th–90th $148$4470%20%10th90th$282$0.2$1.0$5.0$20.0$100.0$500.0

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
$123.03
Median
$204.17
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$501.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$691.83
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$436.52
Typical High
$575.44
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$371.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$295.12
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Network Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$588.84
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$371.54
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$295.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$794.33
Quartz
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$616.60
Typical High
$1,412.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$446.68
Typical High
$1,513.56
Security Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$147.91
Typical High
$263.03