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Utah 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

Facilitymedian $135 · 10th–90th $78$2750%20%40%10th90th$135Professionalmedian $148 · 10th–90th $71$6170%10%10th90th$148$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$147.91
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$144.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$204.17
Typical High
$257.04
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$275.42
Typical High
$275.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$302.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$275.42
Typical High
$281.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$213.80