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

Arizona 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 $1,259 · 10th–90th $407$2,8180%10%10th90th$1,259Professionalmedian $676 · 10th–90th $537$1,4450%20%10th90th$676$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$537.03
Median
$741.31
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,548.82
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,884.03
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
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$933.25
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,122.02
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$933.25