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

Utah rates for HCPCS L3904

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

Rates data updated July 2026.

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

$2,089

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,239 from a physician practice, and about $1,622 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,239$1,479 to $3,981
FacilityA hospital or hospital-owned outpatient department$1,622$1,047 to $4,266

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,047 to $4,266Professionalmedian $2,239 · 10th to 90th $1,047 to $18,621
$50.0$200.0$1.0K$5.0Kfacility $1,622professional $2,239

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$3,162.28
Typical High
$4,073.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,265.80
Typical High
$4,265.80
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$3,801.89
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,168.69
Typical High
$4,365.16
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,995.26
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,454.71

Where Utah sits

The same service costs 4.9 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $2,089 · 20th of 51
HI $6,457DC $1,318

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.