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

Wyoming 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 $692 · 10th–90th $617$1,3800%20%10th90th$692Professionalmedian $794 · 10th–90th $537$1,3800%20%40%10th90th$794$500.0$1.0K

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
$537.03
Median
$794.33
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
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
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$954.99