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West Virginia rates for HCPCS L3904

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

Facilitymedian $1,660 · 10th–90th $1,660–$5,8880%50%90th$1,660Professionalmedian $1,660 · 10th–90th $1,318–$2,3990%20%10th90th$1,660$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,659.59 / $1,949.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $5,248.07
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $5,888.44 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,137.96 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,819.70 / $2,691.53