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

Rhode Island 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?

$537

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,862 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$490 to $603
FacilityA hospital or hospital-owned outpatient department$1,862$1,479 to $2,138

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,096 to $2,344Professionalmedian $537 · 10th to 90th $398 to $851
$500$1K$2Kfacility $1,862professional $537

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$602.56
Typical High
$602.56
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,041.74
Typical High
$2,344.23
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$537.03
Typical High
$870.96
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
United
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$602.56
Typical High
$851.14

Where Rhode Island 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.

Rhode Island· 30th of 51

$537

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.