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

Massachusetts 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 $1,698 · 10th–90th $603$2,7540%20%10th90th$1,698Professionalmedian $1,202 · 10th–90th $603$1,8200%20%10th90th$1,202$1.0$10.0$100.0$1.0K$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
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,905.46
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$6,606.93
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,071.52
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$2,344.23
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
$1,621.81
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,819.70
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$6,606.93
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,071.52
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,148.15
Typical High
$1,288.25