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

Louisiana 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 $1,148 · 10th–90th $741$2,5120%20%10th90th$1,148Professionalmedian $759 · 10th–90th $589$1,0230%20%10th90th$759$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
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,089.30
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,148.15
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$933.25