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

Maryland 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 $724 · 10th–90th $468$1,4130%10%10th90th$724Professionalmedian $661 · 10th–90th $562$1,1750%20%40%10th90th$661$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$1,122.02
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$954.99
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
$912.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,096.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$758.58
Typical High
$1,202.26