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

Montana 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 $347 · 10th–90th $219$1,0470%20%10th90th$347Professionalmedian $275 · 10th–90th $102$6760%20%10th90th$275$100.0$500.0$2.0K$10.0K$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
Professional
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$371.54
Typical High
$371.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$676.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$676.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$331.13
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$281.84
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$239.88