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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

New Jersey 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 $490 · 10th–90th $490$1,4790%50%90th$490Professionalmedian $631 · 10th–90th $490$1,4450%10%10th90th$631$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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$741.31
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$1,949.84
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$912.01
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,412.54