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

Maine 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?

$69.18

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $132 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$69.18$64.57 to $100
FacilityA hospital or hospital-owned outpatient department$132$70.79 to $135

How much rates vary

Facilitymedian $132 · 10th to 90th $63 to $145Professionalmedian $69 · 10th to 90th $51 to $100
$50$100$200facility $132professional $69

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$70.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$154.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$70.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$97.72
Typical High
$100.00

Where Maine 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.

Maine· 20th of 51

$69.18

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.