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

New Hampshire 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 $776$1,6980%20%40%10th90th$1,413Professionalmedian $912 · 10th–90th $603$1,2020%20%10th90th$912$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
$776.25
Median
$776.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$933.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$1,202.26
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,949.84