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

Missouri rates for HCPCS L3904

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

Rates data updated July 2026.

Facilitymedian $2,630 · 10th–90th $1,698$5,6230%20%10th90th$2,630Professionalmedian $1,950 · 10th–90th $1,479$3,8900%20%40%10th90th$1,950$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
$1,698.24
Median
$1,698.24
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$18,620.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$11,481.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,570.40
Typical High
$17,378.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,630.27
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,951.21