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

Utah 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 $155 · 10th–90th $102$3550%20%40%10th90th$155Professionalmedian $200 · 10th–90th $102$9120%10%10th90th$200$50.0$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
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$190.55
Typical High
$1,479.11
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
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$257.04
Typical High
$331.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$389.05
Select Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$346.74
Typical High
$363.08
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$239.88