Code: L3764

Description:
Description: Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB
EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB
SUPLINATION SPLINT
Hc Pt Ewho W/joint(s)cf
Hc Ot Ewho W/joint(s)cf
Related codes:
Code: L3760
BRACE ELBOW ROM NON
Code: L3761
ORTHS ELB ADJ POSLOCK JT
Code: L3762
IMOB ORTH ELB 11.5X9IN
Code: L3763
ELB/WRST/HND WO JTS CF
Code: L3765
ORTHOSIS ELB WRIST HAND
Code: L3766
ELB/WRST/HND/FNGR JTS CF
State Average # Hospitals In Database
Vermont (VT) $205 1
North Carolina (NC) $354 10
Oklahoma (OK) $436 2
Minnesota (MN) $480 13
Wisconsin (WI) $634 5
Massachusetts (MA) $659 17
New York (NY) $729 2
Kansas (KS) $783 4
Rhode Island (RI) $945 3
Ohio (OH) $1,072 1
West Virginia (WV) $1,147 3
North Dakota (ND) $1,163 2
Alabama (AL) $1,195 10
Connecticut (CT) $1,223 2
New Mexico (NM) $1,264 1
Kentucky (KY) $1,286 3
Maine (ME) $1,318 2
Pennsylvania (PA) $1,336 9
Missouri (MO) $1,396 1
Illinois (IL) $1,452 8
Colorado (CO) $1,499 2
Georgia (GA) $1,500 3
Florida (FL) $1,550 10
Nevada (NV) $1,579 3
Tennessee (TN) $1,579 2
Arkansas (AR) $1,579 2
South Carolina (SC) $1,624 5
Washington (WA) $1,694 2
California (CA) $1,747 29
Texas (TX) $1,781 19
Virginia (VA) $1,805 5
Delaware (DE) $1,805 1
Utah (UT) $1,805 1
New Jersey (NJ) $1,805 2
Louisiana (LA) $1,805 1
Arizona (AZ) $2,143 5
New Hampshire (NH) $2,226 4
Michigan (MI) $2,411 117
Maryland (MD) $2,426 3
Indiana (IN) $2,944 17

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.