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

Washington 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 $200$7240%20%10th90th$347Professionalmedian $288 · 10th–90th $158$5890%10%20%10th90th$288$5.0$20.0$100.0$500.0$2.0K

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
$52.48
Median
$234.42
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$549.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$346.74
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$467.74
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$239.88
Typical High
$288.40
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$346.74
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$354.81
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$691.83
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$346.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$512.86
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$524.81