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

Missouri 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?

$741

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,413 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$676 to $891
FacilityA hospital or hospital-owned outpatient department$1,413$912 to $5,129

How much rates vary

Facilitymedian $1,413 · 10th to 90th $724 to $6,607Professionalmedian $741 · 10th to 90th $631 to $1,413
$500$1K$2K$5Kfacility $1,413professional $741

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
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$831.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$776.25
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$758.58
Typical High
$1,318.26
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$977.24
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
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
Medica
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,412.54
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$691.83
Typical High
$7,079.46
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$691.83
Typical High
$1,071.52
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$74.13
Typical High
$758.58

Where Missouri sits

The same service costs 2.2 times more in Hawaii than in Delaware. 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.

Missouri· 38th of 51

$741

HI $1,479DE $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.