go back

Elbow Orthosis (EO), Double Upright Adjustable Position Lock

South Carolina 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 $741 · 10th–90th $589$1,5850%20%10th90th$741Professionalmedian $631 · 10th–90th $562$1,0230%20%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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,148.15
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$794.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,949.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$812.83