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

New York 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 $251 · 10th–90th $148$5250%10%10th90th$251Professionalmedian $200 · 10th–90th $148$5010%20%10th90th$200$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
$117.49
Median
$218.78
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$173.78
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$524.81
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$288.40
Typical High
$288.40
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
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
$234.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$575.44
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$371.54
Typical High
$660.69
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$251.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$562.34
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$562.34
Univera
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$263.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$251.19