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

Montana 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?

$1,479

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $1,585 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$1,380$631 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,585$1,445 to $83,176

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,096 to $85,114Professionalmedian $1,380 · 10th to 90th $79 to $1,585
$100$1K$10K$100Kfacility $1,585professional $1,380

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
$407.38
Median
$741.31
Typical High
$1,318.26
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,479.11
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,819.70
Typical High
$85,113.80
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,584.89
Typical High
$89,125.09
Providence
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,479.11
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,122.02
Typical High
$1,479.11
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$630.96
Typical High
$1,047.13

Where Montana 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.

Montana· 2nd of 51

$1,479

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.