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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Indiana 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 $1,202 · 10th–90th $589$1,4790%20%40%10th90th$1,202Professionalmedian $631 · 10th–90th $537$1,0470%20%10th90th$631$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
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$870.96