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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Alaska rates for HCPCS L3740

Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

Rates data updated July 2026.

Facilitymedian $708 · 10th–90th $380$2,1880%20%40%10th90th$708Professionalmedian $871 · 10th–90th $661$3,0900%10%20%10th90th$871$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$2,691.53
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$851.14
Typical High
$2,187.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$3,630.78
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,238.72
Typical High
$2,290.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$741.31
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$5,623.41