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

South Dakota 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?

$3,548

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $4,266 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,467$2,884 to $4,266
FacilityA hospital or hospital-owned outpatient department$4,266$3,020 to $5,012

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,188 to $8,128Professionalmedian $3,467 · 10th to 90th $1,698 to $5,370
$2K$5K$10K$20Kfacility $4,266professional $3,467

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$4,265.80
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$5,011.87
Typical High
$8,128.31
Medica
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$25,703.96
Midlands
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Midlands
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$7,762.47
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,778.28
Typical High
$2,884.03
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28

Where South Dakota 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.

South Dakota· 7th of 51

$3,548

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.