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

Texas 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 $1,096 · 10th–90th $617$3,8020%10%20%10th90th$1,096Professionalmedian $676 · 10th–90th $589$9330%50%10th90th$676$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$630.96
Median
$660.69
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$676.08
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,445.44
Typical High
$1,445.44
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
$912.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$10,232.93
Typical High
$10,232.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,230.27
Typical High
$1,905.46
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,096.48
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,148.15
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$891.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,445.44
Typical High
$1,949.84