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

Idaho 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 $1,318 · 10th–90th $741$1,7380%20%40%10th90th$1,318Professionalmedian $977 · 10th–90th $562$1,5490%20%10th90th$977$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
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,318.26
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$912.01
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,288.25
Typical High
$1,513.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$1,348.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,089.30
Select Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$724.44
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$891.25