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Dynamic Flexor Hinge Orthosis, Wrist or Finger Driven

Wisconsin 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 $1,820 · 10th–90th $1,349$3,6310%20%40%10th90th$1,820Professionalmedian $1,698 · 10th–90th $851$2,8180%20%10th90th$1,698$1.0$5.0$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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,584.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$4,168.69
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$2,630.27
Typical High
$3,467.37
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$2,238.72
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$1,202.26
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,041.74
Typical High
$3,548.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$2,238.72
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$1,778.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$4,265.80
Quartz
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$3,715.35
Typical High
$7,585.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$2,691.53
Typical High
$8,511.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,621.81
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,548.82