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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 July 2026.

Facilitymedian $1,148 · 10th–90th $525$2,0890%20%10th90th$1,148Professionalmedian $759 · 10th–90th $631$1,6600%20%40%10th90th$759$1.0$5.0$20.0$100.0$500.0$2.0K

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
$165.96
Median
$724.44
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$6,025.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,202.26