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

West 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 $708 · 10th–90th $708$1,9050%50%90th$708Professionalmedian $676 · 10th–90th $562$9120%20%40%10th90th$676$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
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$707.95
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,905.46
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,148.15