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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Iowa 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 $1,023 · 10th–90th $692$3,3110%20%10th90th$1,023Professionalmedian $794 · 10th–90th $490$1,4450%10%20%10th90th$794$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$1,698.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,584.89
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,819.70
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$977.24
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$1,202.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,202.26