go back

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

New Mexico 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 $912 · 10th–90th $407$1,4450%10%10th90th$912Professionalmedian $759 · 10th–90th $550$2,0890%10%20%10th90th$759$100.0$200.0$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
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,348.96
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
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$2,137.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$954.99
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$933.25