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Elbow-Wrist-Hand-Finger Orthosis (EWHFO), Rigid

Alaska rates for HCPCS L3765

Elbow-wrist-hand-finger orthosis (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $407$1,4130%50%90th$407Professionalmedian $794 · 10th–90th $692$1,9050%10%20%10th90th$794$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,412.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,412.54
Typical High
$4,466.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,412.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$912.01
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$3,388.44