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Wrist-Hand-Finger Orthosis (WHFO), Electric Powered

Alaska rates for HCPCS L3904

Wrist-hand-finger orthosis (WHFO), external powered, electric, custom fabricated

Rates data updated July 2026.

Facilitymedian $1,995 · 10th–90th $1,047$5,6230%20%40%10th90th$1,995Professionalmedian $2,399 · 10th–90th $1,698$8,1280%10%20%10th90th$2,399$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$6,918.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$3,162.28
Typical High
$5,623.41
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$6,025.60
Typical High
$9,772.37
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,754.40
Typical High
$6,025.60
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$5,754.40
Typical High
$6,025.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,995.26
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,995.26
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,951.21
Typical High
$14,454.40