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

South Carolina 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 $851 · 10th–90th $676$1,7780%20%10th90th$851Professionalmedian $708 · 10th–90th $603$1,2300%20%10th90th$708$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
$602.56
Median
$691.83
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,071.52
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,621.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$2,238.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$794.33
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$954.99