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

Tennessee rates for HCPCS L3904

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

Rates data updated July 2026.

Facilitymedian $3,090 · 10th–90th $1,585$20,8930%20%10th90th$3,090Professionalmedian $1,820 · 10th–90th $1,479$3,3110%50%10th90th$1,820$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
$1,778.28
Median
$1,949.84
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,819.70
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,995.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,862.09
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$2,398.83