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

California 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 $724 · 10th–90th $575$3,3110%20%10th90th$724Professionalmedian $759 · 10th–90th $589$6,0260%20%40%10th90th$759$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
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$6,025.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$1,698.24
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,187.76
Typical High
$3,388.44
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$1,318.26
Typical High
$3,548.13
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
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,187.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$10,232.93
Typical High
$10,232.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,380.38
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,348.96
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$616.60
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,445.44