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

Vermont 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 $813 · 10th–90th $468$9120%20%40%10th90th$813Professionalmedian $692 · 10th–90th $676$9550%20%40%10th90th$692$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
$676.08
Median
$676.08
Typical High
$870.96
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$954.99
Typical High
$2,754.23