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Wrist-Hand-Finger Orthosis (WHFO), Off-the-Shelf

Ohio rates for HCPCS L3809

Wrist-hand-finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $47$3720%20%10th90th$209Professionalmedian $155 · 10th–90th $110$2880%20%40%10th90th$155$0.2$1.0$5.0$20.0$100.0$500.0

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
$44.67
Median
$117.49
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$208.93
Typical High
$295.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$295.12
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$165.96
Typical High
$363.08
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$158.49
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$141.25
Typical High
$162.18
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$177.83
Typical High
$257.04
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$223.87
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$131.83
Typical High
$204.17