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Dynamic Flexor Hinge Orthosis, Wrist or Finger Driven

Washington 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 $1,622 · 10th–90th $1,072$3,4670%20%10th90th$1,622Professionalmedian $1,318 · 10th–90th $708$2,8180%10%20%10th90th$1,318$20.0$100.0$500.0$2.0K$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
$1,071.52
Median
$1,071.52
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$7,585.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,621.81
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$891.25
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,137.96
Typical High
$4,570.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,862.09
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$1,096.48
Typical High
$1,348.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$1,621.81
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,621.81
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,344.23
Typical High
$3,235.94
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,584.89
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,621.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,949.84
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,348.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$1,380.38