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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health University 8800 N. Tryon St. , Charlotte L3764 $294 [source] 3 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte L3764 $295 [source] 3 years ago
Atrium Health Lincoln 433 Mcalister Road , Lincolnton L3764 $295 [source] 3 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte L3764 $308 [source] 3 years ago
Atrium Health Pineville 10628 Park Road , Charlotte L3764 $319 [source] 3 years ago
Atrium Health Cabarrus 920 Church Street North , Concord L3764 $322 [source] 3 years ago
Atrium Health Union 600 Hospital Drive , Monroe L3764 $361 [source] 3 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby L3764 $422 [source] 3 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle L3764 $447 [source] 3 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro L3764 $477 [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.