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

Tennessee 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?

$56.23

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $91.20 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 5 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$54.95$52.48 to $69.18
FacilityA hospital or hospital-owned outpatient department$91.20$57.54 to $550

How much rates vary

Facilitymedian $91 · 10th to 90th $51 to $550Professionalmedian $55 · 10th to 90th $51 to $98
$50$100$200$500facility $91professional $55

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
$52.48
Median
$57.54
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$70.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$549.54
Typical High
$549.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$56.23
Typical High
$81.28

Where Tennessee 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.

Tennessee· 43rd of 51

$56.23

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.