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

Indiana 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 October 2026.

How much does Hand-Finger Orthosis (HFO), with Joints, Custom Fabricated cost?

$191

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $363 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$182 to $240
FacilityA hospital or hospital-owned outpatient department$363$282 to $363

How much rates vary

Facilitymedian $363 · 10th to 90th $214 to $871Professionalmedian $191 · 10th to 90th $158 to $363
$100$200$500$1K$2Kfacility $363professional $191

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$363.08
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$19.05
Median
$19.05
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$144.54
Median
$144.54
Typical High
$204.17
CareSource
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$234.42
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$213.80
Typical High
$1,737.80
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$295.12
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$173.78
Typical High
$257.04

Where Indiana 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.

Indiana· 35th of 51

$191

MT $372DE $155

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.