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Wrist-Hand Orthosis (WHO), with Joints, Custom Fitted

Pennsylvania rates for HCPCS L3915

Wrist-hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated October 2026.

How much does Wrist-Hand Orthosis (WHO), with Joints, Custom Fitted cost?

$324

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $407 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$240 to $537
FacilityA hospital or hospital-owned outpatient department$407$324 to $1,862

How much rates vary

Facilitymedian $407 · 10th to 90th $324 to $3,162Professionalmedian $324 · 10th to 90th $234 to $575
$200$1K$5K$20Kfacility $407professional $324

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$257.04
Typical High
$275.42
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$2,884.03
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$831.76
Typical High
$977.24
Geisinger
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Geisinger
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$380.19
Typical High
$575.44
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$257.04
Typical High
$275.42
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$812.83
Typical High
$851.14
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,862.09
Typical High
$3,162.28
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$537.03
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$851.14
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$436.52

Where Pennsylvania sits

The same service costs 3.0 times more in Hawaii than in Kansas. 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.

Pennsylvania· 37th of 51

$324

HI $603KS $200

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.