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

Pennsylvania 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?

$912

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $1,000 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$832$661 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,000$912 to $4,467

How much rates vary

Facilitymedian $1,000 · 10th to 90th $912 to $5,888Professionalmedian $832 · 10th to 90th $562 to $1,380
$500$1K$2K$5K$10K$20K$50Kfacility $1,000professional $832

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
$562.34
Median
$562.34
Typical High
$630.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$630.96
Typical High
$660.69
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,380.38
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
$6,918.31
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$2,041.74
Typical High
$2,344.23
Geisinger
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Geisinger
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$912.01
Typical High
$1,412.54
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$630.96
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,949.84
Typical High
$2,089.30
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$4,466.84
Typical High
$7,585.78
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,318.26
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,041.74
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$691.83
Typical High
$1,047.13

Where Pennsylvania 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.

Pennsylvania· 21st of 51

$912

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.