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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Kentucky 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 $776 · 10th–90th $186$1,8620%20%10th90th$776Professionalmedian $589 · 10th–90th $537$7410%50%10th90th$589$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
$186.21
Median
$602.56
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,202.26
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$741.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,041.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$891.25