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

Kansas 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 $1,096 · 10th–90th $407$1,4130%50%10th90th$1,096Professionalmedian $1,202 · 10th–90th $676$1,2020%50%10th$1,202$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
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$1,148.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,023.29
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,000.00