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

Utah 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?

$603

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $501 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 7 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$603$457 to $1,023
FacilityA hospital or hospital-owned outpatient department$501$324 to $1,000

How much rates vary

Facilitymedian $501 · 10th to 90th $324 to $1,000Professionalmedian $603 · 10th to 90th $324 to $5,754
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $501professional $603

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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$5,754.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$724.44
Typical High
$933.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,288.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Select Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,023.29
Typical High
$1,174.90
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$758.58

Where Utah 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.

Utah $603 · 30th 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.