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Hand Orthosis (HO), Metacarpal Fracture, Off-the-Shelf

Illinois rates for HCPCS L3918

Hand orthosis (HO), metacarpal fracture orthosis, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Hand Orthosis (HO), Metacarpal Fracture, Off-the-Shelf cost?

$77.62

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $95.50 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$58.88 to $89.13
FacilityA hospital or hospital-owned outpatient department$95.50$58.88 to $151

How much rates vary

Facilitymedian $95 · 10th to 90th $59 to $309Professionalmedian $78 · 10th to 90th $55 to $117
$50$100$200$500$1Kfacility $95professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$58.88
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$89.13
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$134.90
Typical High
$165.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$100.00

Where Illinois sits

The same service costs 2.5 times more in Wisconsin than in Washington, DC. 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.

Illinois· 15th of 51

$77.62

WI $115DC $46.77

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.