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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 July 2026.

Facilitymedian $363 · 10th–90th $174$4270%50%10th90th$363Professionalmedian $182 · 10th–90th $151$2880%50%10th90th$182$0.5$2.0$10.0$50.0$200.0$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
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$218.78
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$251.19