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

Missouri 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 July 2026.

Facilitymedian $162 · 10th–90th $65$3310%10%20%10th90th$162Professionalmedian $151 · 10th–90th $110$5750%20%40%10th90th$151$0.2$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
$15.49
Median
$141.25
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$1,288.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$134.90
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$239.88