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

Rhode Island 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 $2,512 · 10th–90th $776$3,1620%10%20%10th90th$2,512Professionalmedian $724 · 10th–90th $603$9330%20%10th90th$724$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,754.23
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,202.26
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
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,148.15