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
Arizona
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of East Valley 5652 East Baseline Road, Mesa L3764 $2,143 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Northwest Tucson 1921 W Hospital Dr, Tucson L3764 $2,143 [source] 3 years ago
Encompass Health Valley Of The Sun Rehabilitation Hospital 13460 N 67Th Ave, Glendale L3764 $2,143 [source] 3 years ago
Encompass Health Rehabilitation Institute Of Tucson 2650 N Wyatt Dr, Tucson L3764 $2,143 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Scottsdale 9630 E Shea Blvd, Scottsdale L3764 $2,143 [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.