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Dynamic Flexor Hinge Orthosis, Wrist or Finger Driven

Massachusetts rates for HCPCS L3900

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Rates data updated July 2026.

Facilitymedian $1,778 · 10th–90th $631$2,8180%20%10th90th$1,778Professionalmedian $1,259 · 10th–90th $631$1,9050%20%40%10th90th$1,259$1.0$10.0$100.0$1.0K$10.0K

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
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$2,187.76
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$8,511.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,122.02
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$2,454.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,905.46
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$8,511.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,122.02
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,202.26
Typical High
$1,348.96