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

Ohio 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 Ohio, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,514 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$661 to $891
FacilityA hospital or hospital-owned outpatient department$1,514$1,288 to $2,138

How much rates vary

Facilitymedian $1,514 · 10th to 90th $912 to $2,512Professionalmedian $741 · 10th to 90th $617 to $1,549
$500$1K$2K$5Kfacility $1,514professional $741

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,096.48
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,659.59
Typical High
$3,090.30
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$758.58
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$512.86
Median
$549.54
Typical High
$741.31
CareSource
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,412.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,258.93
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Molina
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,621.81
SummaCare
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,290.87
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,041.74
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$676.08
Typical High
$1,023.29
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$74.13
Typical High
$100.00

Where Ohio 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.

Ohio· 35th 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.