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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Montana 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 $1,148 · 10th–90th $776$1,5850%20%40%10th90th$1,148Professionalmedian $933 · 10th–90th $380$2,2390%10%20%10th90th$933$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$380.19
Median
$616.60
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,230.27
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,238.72
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$933.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$891.25