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

Washington 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 $105 · 10th–90th $71$2240%20%10th90th$105Professionalmedian $87 · 10th–90th $54$2040%10%10th90th$87$1.0$5.0$20.0$100.0$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
$70.79
Median
$89.13
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$70.79
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$213.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$102.33
Typical High
$104.71
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$60.26
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$141.25
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$123.03
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$89.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$104.71
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$114.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$208.93
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$102.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$104.71
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$51.29
Typical High
$93.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$91.20