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Elbow Orthosis (EO), Double Upright Extension/Flexion Assist

Maine rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Rates data updated July 2026.

How much does Elbow Orthosis (EO), Double Upright Extension/Flexion Assist cost?

$813

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$603 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,380$661 to $1,585

How much rates vary

Facilitymedian $1,380 · 10th to 90th $617 to $1,660Professionalmedian $813 · 10th to 90th $562 to $1,148
$500.0$1.0K$2.0K$5.0Kfacility $1,380professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,584.89
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$616.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,380.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$616.60
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,096.48
Typical High
$1,148.15

Where Maine sits

The same service costs 4.1 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $813 · 13th of 51
HI $1,660DC $407

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.