go back

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

North Carolina rates for HCPCS L3904

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

Rates data updated July 2026.

Facilitymedian $3,467 · 10th–90th $1,479$6,9180%20%10th90th$3,467Professionalmedian $3,020 · 10th–90th $1,549$3,4670%20%40%10th90th$3,020$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
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$3,467.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,888.44
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,454.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,621.81
Typical High
$2,137.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,951.21
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$2,570.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68