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
Pennsylvania
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Altoona 2005 Valley View Blvd, Altoona L3764 $1,157 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Reading 1623 Morgantown Rd, Reading L3764 $1,200 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Mechanicsburg 175 Lancaster Blvd, Mechanicsburg L3764 $1,243 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Harmarville 320 Guys Run Road, Pittsburgh L3764 $1,264 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Sewickley 303 Campmeeting Rd, Sewickley L3764 $1,264 [source] 3 years ago
Geisinger Encompass Health Rehabilitation Hospital 2 Rehab Ln, Danville L3764 $1,286 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Nittany Valley 550 W College Ave, Bellefonte L3764 $1,322 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Erie 143 E 2Nd St, Erie L3764 $1,393 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of York 1850 Normandie Dr, L3764 $1,895 [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.