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Hand-Finger Orthosis (HFO), without Joints, Off-the-Shelf

South Dakota rates for HCPCS L3924

Hand-finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $66$1450%20%10th90th$95Professionalmedian $79 · 10th–90th $60$1550%10%10th90th$79$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$93.33
Avera
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
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
$72.44
Median
$102.33
Typical High
$177.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$75.86
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
$75.86
Typical High
$123.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50