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

Montana 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?

$977

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $977 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$794$525 to $977
FacilityA hospital or hospital-owned outpatient department$977$832 to $1,047

How much rates vary

Facilitymedian $977 · 10th to 90th $646 to $1,349Professionalmedian $794 · 10th to 90th $324 to $1,905
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $977professional $794

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,047.13
Typical High
$1,047.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,905.46
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$933.25
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$776.25
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$501.19
Typical High
$758.58

Where Montana 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.

Montana $977 · 7th 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.