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

Indiana 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 October 2026.

How much does Elbow-Wrist-Hand-Finger Orthosis (EWHFO), Rigid cost?

$741

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,288 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$708 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,288$1,122 to $1,445

How much rates vary

Facilitymedian $1,288 · 10th to 90th $912 to $2,138Professionalmedian $741 · 10th to 90th $661 to $1,445
$500$1K$2K$5Kfacility $1,288professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$758.58
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$74.13
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$776.25
CareSource
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$912.01
Typical High
$6,918.31
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,137.96
Typical High
$4,466.84
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$707.95
Typical High
$1,047.13

Where Indiana sits

The same service costs 2.2 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 39th of 51

$741

HI $1,479DE $661

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.