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Idaho rates for HCPCS L3740

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

Facilitymedian $1,122 · 10th–90th $617–$1,5850%20%10th90th$1,122Professionalmedian $813 · 10th–90th $525–$1,3180%10%10th90th$813$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $758.58 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,122.02 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $741.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,023.29 / $1,584.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $1,023.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,148.15 / $1,148.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $691.83 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $588.84 / $851.14