go back

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

Virginia 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 $1,413 · 10th–90th $676$1,7380%20%40%10th90th$1,413Professionalmedian $741 · 10th–90th $562$1,3180%50%10th90th$741$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
$562.34
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,548.82
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,949.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$933.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,737.80
Sentara
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$3,019.95
Sentara
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$1,096.48