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
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L3765 $2,537 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L3765 $2,537 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L3765 $2,537 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L3765 $2,537 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L3765 $2,537 [source] 3 years ago
Franciscan Health Lafayette East , Lafayette L3765 $4,051 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L3765 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, L3765 $6,012 [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.