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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Nebraska 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 $1,288 · 10th–90th $589$6,3100%20%10th90th$1,288Professionalmedian $724 · 10th–90th $562$1,0470%50%10th90th$724$500.0$1.0K$2.0K$5.0K$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
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,380.38
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$6,309.57
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$3,388.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,162.28
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$977.24