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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Missouri 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 $1,023 · 10th–90th $661$2,1380%20%10th90th$1,023Professionalmedian $708 · 10th–90th $575$1,5140%50%10th90th$708$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
$660.69
Median
$660.69
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$6,760.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$707.95
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,000.00
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,174.90