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
Texas
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of City View 6701 Oakmont Blvd, Fort Worth L3764 $1,579 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L3764 $1,579 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Wichita Falls 3901 Armory Rd, Wichita Falls L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Texarkana 515 W 12Th St, Texarkana L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Sugar Land 1325 Highway 6, Sugar Land L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Humble 19002 Mckay Dr, Humble L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Cypress 13031 Wortham Center Dr, Houston L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L3764 $1,805 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Plano 2800 W 15Th St, Plano L3764 $1,805 [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.