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

Delaware 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 $813 · 10th–90th $1$9120%50%10th90th$813Professionalmedian $631 · 10th–90th $562$5,2480%20%40%10th90th$631$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$5,248.07
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
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$616.60
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,023.29