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Wrist-Hand-Finger Orthosis (WHFO), Custom Fitted

Indiana rates for HCPCS L3807

Wrist-hand-finger orthosis (WHFO), without joint(s), 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 October 2026.

How much does Wrist-Hand-Finger Orthosis (WHFO), Custom Fitted cost?

$148

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $251 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$135 to $195
FacilityA hospital or hospital-owned outpatient department$251$219 to $282

How much rates vary

Facilitymedian $251 · 10th to 90th $135 to $562Professionalmedian $148 · 10th to 90th $120 to $282
$100$200$500$1K$2Kfacility $251professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$199.53
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$213.80
Typical High
$213.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$281.84
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$151.36
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$14.79
Median
$14.79
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$112.20
Median
$112.20
Typical High
$154.88
CareSource
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$281.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$134.90
Typical High
$1,348.96
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$870.96
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$234.42
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$138.04
Typical High
$204.17

Where Indiana sits

The same service costs 2.3 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 37th of 51

$148

KS $282DE $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.