go back

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

New Jersey rates for HCPCS L3918

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

Rates data updated October 2026.

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

$56.23

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $56.23 from a physician practice, and about $70.79 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$46.77 to $115
FacilityA hospital or hospital-owned outpatient department$70.79$57.54 to $70.79

How much rates vary

Facilitymedian $71 · 10th to 90th $58 to $115Professionalmedian $56 · 10th to 90th $40 to $115
$50$100facility $71professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$44.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$48.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.95
Median
$19.95
Typical High
$24.55
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.94
Median
$7.94
Typical High
$9.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.03
Median
$6.03
Typical High
$7.41
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.98
Median
$3.98
Typical High
$4.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$114.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$70.79
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$151.36
Typical High
$151.36
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
United
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$63.10
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$60.26
Typical High
$109.65

Where New Jersey sits

The same service costs 2.4 times more in Montana than in Delaware. 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.

New Jersey· 48th of 51

$56.23

MT $123DE $51.29

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.