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Dynamic Flexor Hinge Orthosis, Wrist or Finger Driven

Utah 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 $708 · 10th–90th $457$1,4130%20%40%10th90th$708Professionalmedian $851 · 10th–90th $457$7,5860%10%10th90th$851$50.0$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
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,047.13
Typical High
$1,348.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,412.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,819.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,445.44
Typical High
$1,621.81
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,096.48