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

South Carolina 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 $214 · 10th–90th $170$4470%20%10th90th$214Professionalmedian $178 · 10th–90th $148$3090%20%10th90th$178$100.0$200.0$500.0$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
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$234.42