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

North Dakota 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 $1,023 · 10th–90th $977$1,9950%50%10th90th$1,023Professionalmedian $1,318 · 10th–90th $759$1,7380%20%10th90th$1,318$500.0$1.0K$2.0K$5.0K

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
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$5,248.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,621.81
Typical High
$2,041.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,202.26
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$1,659.59