Code: L3765

Description:
Description: Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC EWHFO RIGID W/O JOINTS CUSTOM
EWHFO RIGID W/O JOINTS CUSTOM FABRICATED
EWHFO RIGID NO JTS CUSTOM F&A
Hc Pt Ewhfo Rgdw/o Jnts
Hc Ot Ewhfo Rgdw/o Jnts
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: L3764
ELB/WRST/HND W/JTS CF
Code: L3766
ELB/WRST/HND/FNGR JTS CF
California
Hospital Address Code Price Last Updated
California Pacific Medical Center - Davies Campus 45 Castro St, San Francisco L3765 $786 [source] 3 years ago
California Pacific Medical Center - Mission Bernal Campus 3555 Cesar Chavez, San Francisco L3765 $786 [source] 3 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco L3765 $786 [source] 3 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa L3765 $1,226 [source] 3 years ago
Kentfield Hospital 1125 Sir Francis Drake Blvd., Greenbrae L3765 $2,127 [source] 3 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L3765 $2,300 [source] 3 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L3765 $2,300 [source] 3 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L3765 $2,300 [source] 3 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L3765 $2,300 [source] 3 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L3765 $2,300 [source] 3 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L3765 $2,300 [source] 3 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L3765 $2,300 [source] 3 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L3765 $2,300 [source] 3 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L3765 $2,300 [source] 3 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L3765 $2,300 [source] 3 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L3765 $2,300 [source] 3 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L3765 $2,300 [source] 3 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L3765 $2,300 [source] 3 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L3765 $2,300 [source] 3 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L3765 $2,300 [source] 3 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L3765 $2,300 [source] 3 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L3765 $2,300 [source] 3 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L3765 $2,300 [source] 3 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L3765 $2,300 [source] 3 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L3765 $2,631 [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.