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

Wisconsin 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 $107 · 10th–90th $85$2240%50%10th90th$107Professionalmedian $100 · 10th–90th $52$1820%20%10th90th$100$0.1$0.5$2.0$10.0$50.0$200.0

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
$85.11
Median
$107.15
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$251.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$154.88
Typical High
$204.17
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$87.10
Typical High
$134.90
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$131.83
Typical High
$165.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$104.71
Typical High
$478.63
Medica
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Network Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$213.80
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$87.10
Typical High
$134.90
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$104.71
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$162.18
Typical High
$288.40
Quartz
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$218.78
Typical High
$478.63
Quartz
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$162.18
Typical High
$537.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$56.23
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$93.33
Typical High
$218.78