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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

New Mexico 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 $832 · 10th–90th $380$1,5140%10%10th90th$832Professionalmedian $851 · 10th–90th $589$1,6600%10%20%10th90th$851$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
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$2,344.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$954.99
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$891.25