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Hand-Finger Orthosis (HFO), without Joints, Custom Fitted

South Dakota rates for HCPCS L3923

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

Facilitymedian $89 · 10th–90th $69$1100%50%10th90th$89Professionalmedian $76 · 10th–90th $58$1550%10%10th90th$76$20.0$50.0$100.0$200.0$500.0

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
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$93.33
Avera
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Avera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$93.33
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$69.18
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$107.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$173.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$72.44
Typical High
$123.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50