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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Tennessee 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 $933 · 10th–90th $575$7,5860%20%10th90th$933Professionalmedian $589 · 10th–90th $525$1,0000%50%10th90th$589$1.0$5.0$20.0$100.0$500.0$2.0K$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
$524.81
Median
$575.44
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10,232.93
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$851.14