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

Massachusetts 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 $427 · 10th–90th $151$6760%20%10th90th$427Professionalmedian $302 · 10th–90th $151$4900%20%10th90th$302$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$151.36
Median
$151.36
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$524.81
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$1,659.59
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$446.68
Typical High
$588.84
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
$407.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$457.09
Health New England
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
Health New England
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$1,659.59
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$269.15
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$323.59