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

Wyoming 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 $54 · 10th–90th $48$930%20%10th90th$54Professionalmedian $72 · 10th–90th $38$930%20%10th90th$72$20.0$50.0$100.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$47.86
Typical High
$72.44