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

Utah rates for HCPCS L3809

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

Rates data updated July 2026.

Facilitymedian $105 · 10th–90th $35$2750%20%10th90th$105Professionalmedian $162 · 10th–90th $35$6170%10%10th90th$162$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$64.57
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$154.88
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$147.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
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
$154.88
Median
$199.53
Typical High
$302.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$281.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$123.03
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$123.03
Typical High
$204.17