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

Wisconsin 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?

$1,349

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $1,445 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,349$759 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,445$1,288 to $2,138

How much rates vary

Facilitymedian $1,445 · 10th to 90th $912 to $3,311Professionalmedian $1,349 · 10th to 90th $661 to $2,138
$500$1K$2K$5Kfacility $1,445professional $1,349

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,344.23
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,445.44
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,884.03
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,000.00
Typical High
$2,691.53
DeanCare
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,412.54
Typical High
$1,621.81
DeanCare
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$1,412.54
Typical High
$6,606.93
Medica
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$891.25
Typical High
$1,819.70
Network Health
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Network Health
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,454.71
Prevea360
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$1,412.54
Typical High
$1,621.81
Prevea360
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,380.38
Typical High
$1,412.54
Quartz
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$3,162.28
Quartz
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Quartz
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$707.95
Typical High
$1,202.26
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$74.13
Typical High
$741.31
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$549.54
Median
$549.54
Typical High
$741.31

Where Wisconsin 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.

Wisconsin· 5th of 51

$1,349

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.