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

Wyoming rates for HCPCS L3904

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

Rates data updated July 2026.

Facilitymedian $1,778 · 10th–90th $1,585$4,1690%20%40%10th90th$1,778Professionalmedian $2,399 · 10th–90th $1,622$4,1690%20%10th90th$2,399$2.0K

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
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
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
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,454.71