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

Montana rates for HCPCS L3904

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

Rates data updated October 2026.

How much does Wrist-Hand-Finger Orthosis (WHFO), Electric Powered cost?

$4,365

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $4,571 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,715$1,622 to $4,571
FacilityA hospital or hospital-owned outpatient department$4,571$4,365 to $251,189

How much rates vary

Facilitymedian $4,571 · 10th to 90th $2,818 to $257,040Professionalmedian $3,715 · 10th to 90th $79 to $4,786
$100$1K$10K$100Kfacility $4,571professional $3,715

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$3,801.89
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$4,570.88
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$4,570.88
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$257,039.58
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$4,786.30
Typical High
$269,153.48
Providence
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$4,570.88
Typical High
$4,570.88
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,388.44
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$2,691.53

Where Montana sits

The same service costs 4.4 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 3rd of 51

$4,365

HI $6,457DE $1,479

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.