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
Alabama
Hospital Address Code Price Last Updated
Baptist East 400 Taylor Rd, Montgomery L3764 $117 [source] 3 years ago
Baptist South 2105 E South Blvd, Montgomery L3764 $117 [source] 3 years ago
Prattville Baptist 124 S Memorial Dr, Prattville L3764 $117 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of North Alabama 107 Governors Dr Sw, Huntsville L3764 $1,579 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Gadsden 801 Goodyear Ave, Gadsden L3764 $1,579 [source] 3 years ago
Regional Rehabilitation Hospital 3715 Highway 280/431 North, Phenix City L3764 $1,579 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Montgomery 4465 Narrow Lane Rd, Montgomery L3764 $1,579 [source] 3 years ago
Encompass Health Lakeshore Rehabilitation Hospital 3800 Ridgeway Dr, Birmingham L3764 $1,579 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Shelby County 900 Oak Mountain Commons Lane, Pelham L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Dothan 1736 E Main St, Dothan L3764 $1,895 [source] 3 years ago

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.