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
Illinois
Hospital Address Code Price Last Updated
Adventist Bolingbrook Hospital 500 Remington Blvd, Bolingbrook L3764 $839 [source] 3 years ago
Presence St. Mary's Hospital 500 W Court St, Kankakee L3764 $1,116 [source] 3 years ago
Alexian Brothers Medical Center 935 Beisner Rd, Elk Grove Village L3764 $1,464 [source] 3 years ago
Adventist Hinsdale Hospital 120 N Oak St, Hinsdale L3764 $1,503 [source] 3 years ago
Adventist Lagrange Memorial Hospital 5101 Willow Springs Rd, La Grange L3764 $1,516 [source] 3 years ago
Adventist Glenoaks Hospital 701 Winthrop Ave, Glendale Heights L3764 $1,516 [source] 3 years ago
St. Alexius Medical Center 1555 Barrington Road, L3764 $1,522 [source] 3 years ago
Van Matre Encompass Health Rehabilitation Hospital 950 S Mulford Rd, Rockford 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.