go back

Dynamic Flexor Hinge Orthosis, Wrist or Finger Driven

Montana 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 $1,380 · 10th–90th $891$1,7380%20%10th90th$1,380Professionalmedian $1,122 · 10th–90th $457$2,6920%10%10th90th$1,122$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$7,585.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,513.56
Typical High
$1,513.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,691.53
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,691.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,122.02
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$1,096.48