go back

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

South Dakota 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 $24 · 10th–90th $24$3020%50%90th$24Professionalmedian $219 · 10th–90th $148$3980%10%20%10th90th$219$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$302.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$501.19
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$275.42
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$186.21
Typical High
$323.59
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03