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

Utah 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 Utah, October 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $912 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$603 to $1,047
FacilityA hospital or hospital-owned outpatient department$912$407 to $1,413

How much rates vary

Facilitymedian $912 · 10th to 90th $407 to $1,413Professionalmedian $851 · 10th to 90th $407 to $1,259
$100$200$500$1K$2Kfacility $912professional $851

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Molina
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$1,047.13
Typical High
$1,318.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$2,137.96
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,412.54
Typical High
$1,445.44
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$630.96
Typical High
$1,148.15

Where Utah 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.

Utah· 20th 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.