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

Kansas

Hospital	Address	Code	Price	Last Updated
Ascension Via Christi Hospital Manhattan, Inc.	1823 College Ave, Manhattan	L3764	$454 [source]	3 years ago
Ascension Via Christi Hospitals Wichita Inc.	929 N Saint Francis St, Wichita	L3764	$549 [source]	3 years ago
Mt. Carmel Regional Medical Center, Inc.	1 Mt Carmel Way, Pittsburg	L3764	$549 [source]	3 years ago
Midamerica Rehabilitation Hospital	5701 W 110Th St, Shawnee Mission	L3764	$1,579 [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 §180.