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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 October 2026.

How much does Elbow-Wrist-Hand-Finger Orthosis (EWHFO), Rigid cost?

$759

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,413 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$759$692 to $776
FacilityA hospital or hospital-owned outpatient department$1,413$1,288 to $1,514

How much rates vary

Facilitymedian $1,413 · 10th to 90th $912 to $1,698Professionalmedian $759 · 10th to 90th $661 to $1,202
$500$1K$2Kfacility $1,413professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$776.25
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$758.58
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$1,202.26
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$691.83
Typical High
$1,096.48
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38

Where New Hampshire 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.

New Hampshire· 34th of 51

$759

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.