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

Nebraska 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 $1,413 · 10th–90th $631$6,6070%20%10th90th$1,413Professionalmedian $661 · 10th–90th $537$1,1480%20%40%10th90th$661$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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,621.81
Typical High
$2,951.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,548.82
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$3,801.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,467.37
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,412.54
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,096.48