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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Texas 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 $1,148 · 10th–90th $603$4,1690%10%10th90th$1,148Professionalmedian $741 · 10th–90th $537$9550%50%10th90th$741$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
$707.95
Median
$724.44
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$954.99
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,862.09
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,174.90
Typical High
$1,949.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,148.15
Typical High
$1,949.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,288.25
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,584.89
Typical High
$2,187.76