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
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls L3764 $56 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton L3764 $692 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids L3764 $807 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, L3764 $807 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau L3764 $807 [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.