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

Illinois 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 $1,445 · 10th–90th $724$7,2440%20%10th90th$1,445Professionalmedian $871 · 10th–90th $661$1,4450%20%40%10th90th$871$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
$724.44
Median
$724.44
Typical High
$1,445.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,754.23
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,548.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$1,819.70
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,202.26