Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Elbow Wrist Hand Orthosis- Rigid- W/O Joints- Custom Fabricated
River, MA
See all hospitals reporting HCPCS L3763 →Price type
Southcoast Hospitals Group, Inc.’s median price of $818 is 2% below the median hospital's median price ($831), higher than 44% of the 1,315 hospitals reporting HCPCS L3763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Ri bcbs rhode island hmo [101050101] other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $779 | $779 | — | — | — | $779 – $779 |
| 3 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $779 | $779 | — | — | — | $779 – $779 |
| 4 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $779 | $779 | — | — | — | $779 – $779 |
| 5 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $818 | $818 | — | — | — | $818 – $818 |
| 6 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $848 | $848 | — | — | — | $848 – $848 |
| 7 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Cigna cigna [100011201] percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | UnitedHealthcare united healthcare [101080105] percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Dec 15, 2025
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