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
Massachusetts
Hospital Address Code Price Last Updated
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L3764 $500 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston L3764 $500 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L3764 $500 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L3764 $500 [source] 3 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L3764 $500 [source] 3 years ago
Mclean Hospital 115 Mill St, Belmont L3764 $500 [source] 3 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L3764 $500 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L3764 $500 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L3764 $500 [source] 3 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L3764 $765 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L3764 $765 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L3764 $765 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L3764 $765 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L3764 $884 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Western Massachusetts 222 State St, Ludlow L3764 $1,080 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L3764 $1,177 [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.