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

West Virginia 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 West Virginia, July 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 $58.88 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 4 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$56.23$54.95 to $58.88
FacilityA hospital or hospital-owned outpatient department$58.88$58.88 to $58.88

How much rates vary

Facilitymedian $59 · 10th to 90th $47 to $81Professionalmedian $56 · 10th to 90th $47 to $79
$10$20$50$100$200$500facility $59professional $56

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
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$58.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$158.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$57.54
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$57.54
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$107.15

Where West Virginia 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.

West Virginia· 42nd 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.