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

Iowa 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 $1,072 · 10th–90th $661$3,5480%20%10th90th$1,072Professionalmedian $891 · 10th–90th $562$1,6220%20%10th90th$891$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,621.81
Typical High
$2,041.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,621.81
Typical High
$1,949.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,412.54
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,348.96