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

Wisconsin 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 $363 · 10th–90th $269$7240%20%40%10th90th$363Professionalmedian $331 · 10th–90th $174$6030%20%10th90th$331$0.5$2.0$10.0$50.0$200.0$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
$177.83
Median
$177.83
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$588.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$831.76
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$512.86
Typical High
$676.08
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$446.68
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$234.42
Network Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Network Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$707.95
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$288.40
Typical High
$446.68
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$346.74
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$933.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$724.44
Typical High
$1,659.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$537.03
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$181.97
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$173.78
Typical High
$338.84