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

Montana 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 $269 · 10th–90th $170$8130%20%10th90th$269Professionalmedian $162 · 10th–90th $71$6030%10%20%10th90th$162$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Global
Typical Low
$39.81
Median
$147.91
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$288.40
Typical High
$288.40
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$524.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$331.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$218.78
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$138.04
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$186.21