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

Virginia 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 $257 · 10th–90th $132$3160%20%40%10th90th$257Professionalmedian $148 · 10th–90th $110$2570%50%10th90th$148$0.2$2.0$20.0$200.0$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
$109.65
Median
$131.83
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$177.83
Typical High
$316.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$338.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$794.33
Sentara
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$120.23
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$218.78