search again

Elbow-Wrist-Hand Orthosis (EWHO), Nontorsion Joints

Nationwide rates for HCPCS L3764

Elbow-wrist-hand orthosis (EWHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $389$2,1380%10%20%10th90th$692Professionalmedian $501 · 10th–90th $389$1,0000%20%10th90th$501$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$467.74
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$933.25