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

Washington 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 $182$5620%20%10th90th$269Professionalmedian $214 · 10th–90th $110$5750%10%10th90th$214$2.0$10.0$50.0$200.0$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
$138.04
Median
$316.23
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$181.97
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$269.15
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
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
Facility
Modifier
Global
Typical Low
$169.82
Median
$363.08
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$257.04
Typical High
$281.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$263.03
Typical High
$269.15
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$346.74
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$537.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$263.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$269.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$407.38