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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

Facilitymedian $347 · 10th–90th $138–$7240%20%10th90th$347Professionalmedian $234 · 10th–90th $151–$4900%10%20%10th90th$234$1.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $229.09 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $199.53 / $316.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $338.84 / $338.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $213.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $467.74 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $407.38 / $724.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $239.88 / $288.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $346.74
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $346.74 / $354.81
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $501.19 / $691.83
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $338.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $512.86 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $169.82 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $524.81