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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Minnesota 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 $2,042 · 10th–90th $1,000$9,5500%20%10th90th$2,042Professionalmedian $1,175 · 10th–90th $794$1,3800%20%40%10th90th$1,175$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
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$12,302.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$1,737.80
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,897.79
Typical High
$9,549.93
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$588.84
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$1,659.59