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

New Hampshire 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?

$891

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,349 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$1,349$891 to $1,445

How much rates vary

Facilitymedian $1,349 · 10th to 90th $741 to $1,660Professionalmedian $813 · 10th to 90th $562 to $1,148
$500.0$1.0K$2.0K$5.0Kfacility $1,349professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,445.44
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$616.60
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
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$1,148.15
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,905.46

Where New Hampshire 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.

New Hampshire $891 · 11th 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.