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

Illinois 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 October 2026.

How much does Elbow-Wrist-Hand Orthosis (EWHO), Nontorsion Joints cost?

$575

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,202 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$562$437 to $692
FacilityA hospital or hospital-owned outpatient department$1,202$1,047 to $2,239

How much rates vary

Facilitymedian $1,202 · 10th to 90th $575 to $5,012Professionalmedian $562 · 10th to 90th $407 to $1,023
$500$1K$2K$5K$10Kfacility $1,202professional $562

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
$436.52
Median
$436.52
Typical High
$870.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$645.65
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$5,888.44
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$575.44
Hally Health
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$912.01
Typical High
$1,202.26
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$426.58
Typical High
$1,047.13

Where Illinois sits

The same service costs 2.8 times more in Hawaii than in Delaware. 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.

Illinois· 23rd of 51

$575

HI $1,175DE $427

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.