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

Tennessee 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 $155 · 10th–90th $105$1,3180%20%10th90th$155Professionalmedian $132 · 10th–90th $117$2340%20%40%10th90th$132$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$104.71
Median
$123.03
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$234.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$162.18
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$134.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$131.83
Typical High
$177.83