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See a sample rate comparisonHCPCS L3809 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Wrist hand finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Wrist-hand-finger Orthotics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L3809 |
National average reimbursement for HCPCS L3809 by major payers:
$217.00
$151.34
$180.64
$325.60
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HCPCS L3809
5 of 25 sample ratesHigher to lower in this preview
Bevan Londergan
The Nemours Foundation
$288.25Published rateLaura Ermenc
$137.54Published rateThomas Carter
Anesthesia Medical Group PC
$137.54Published rateDaniel Mchugh
Advanced Diagnostic Imaging, P.C. Dba Advancedhealth
$129.46Published rateEric Homberg
West Tennessee Bone And Joint Clinic PC
$81.45Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3809 vs. Other Wrist-hand-finger Orthotics Codes
The HCPCS L3809 code is part of the Orthotic Procedures and services services used for Wrist-hand-finger Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L3809 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L3808-HCPCS | Moderate | Wrist hand finger orthosis (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment |
| L3809-HCPCS | Moderate | Wrist hand finger orthosis (WHFO), without joint(s), prefabricated, off-the-shelf, any type |
| L3891-HCPCS | Low | Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3809. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3809 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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