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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

New Hampshire 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 $1,585 · 10th–90th $891$1,9500%20%40%10th90th$1,585Professionalmedian $955 · 10th–90th $631$1,3800%20%10th90th$955$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
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,071.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$1,380.38
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,238.72