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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Idaho 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 $1,122 · 10th–90th $631$1,5850%20%40%10th90th$1,122Professionalmedian $851 · 10th–90th $479$1,3180%10%20%10th90th$851$1.0$5.0$20.0$100.0$500.0$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
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,023.29
Typical High
$1,584.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,148.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,318.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,819.70
Select Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$691.83
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$851.14