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

Maine 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?

$759

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $708 to $1,202.

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.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,349 to $3,311Professionalmedian $759 · 10th to 90th $646 to $1,202
$500$1K$2Kfacility $1,738professional $759

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
Professional
Modifier
None
Typical Low
$660.69
Median
$831.76
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$758.58
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$74.13
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,202.26
Typical High
$1,584.89
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$691.83
Typical High
$1,905.46

Where Maine sits

The same service costs 2.2 times more in Montana than in Arizona. 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.

Maine· 34th of 51

$759

MT $1,479AZ $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.