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
Michigan
Hospital Address Code Price Last Updated
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe L3764 $823 [source] 3 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak L3764 $823 [source] 3 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma L3764 $829 [source] 3 years ago
Midmichigan Medical Center Gladwin , Gladwin L3764 $833 [source] 3 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens L3764 $1,007 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre, Troy L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak L3764 $2,592 [source] 3 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy L3764 $2,592 [source] 3 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak L3764 $2,592 [source] 3 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak L3764 $2,592 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak L3764 $2,592 [source] 3 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington L3764 $2,592 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn L3764 $2,592 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak L3764 $2,592 [source] 3 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor L3764 $2,592 [source] 3 years ago
Beaumont Wayne 33155 Annapolis St, Wayne L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn L3764 $2,592 [source] 3 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy L3764 $2,592 [source] 3 years ago
William Beaumont Hospital 5450 Fort St, Trenton L3764 $2,592 [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.