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

Minnesota 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 $2,455 · 10th–90th $1,202$11,4820%20%10th90th$2,455Professionalmedian $1,413 · 10th–90th $871$1,6220%50%10th90th$1,413$1.0$5.0$20.0$100.0$500.0$2.0K$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
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$2,041.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,370.32
Typical High
$14,454.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$2,089.30
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,888.44
Typical High
$11,481.54
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$2,238.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,412.54
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$616.60
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,995.26