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Hand-Finger Orthosis (HFO), with Joints, Custom Fabricated

Alaska rates for HCPCS L3921

Hand-finger orthosis (HFO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $102$3470%20%40%90th$102Professionalmedian $200 · 10th–90th $174$4790%10%20%10th90th$200$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$380.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$213.80
Typical High
$346.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$1,122.02
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$346.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$346.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$257.04
Typical High
$851.14