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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Utah 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 $589 · 10th–90th $380$1,1750%20%40%10th90th$589Professionalmedian $708 · 10th–90th $380$6,7610%10%10th90th$708$50.0$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
$380.19
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$707.95
Typical High
$6,760.83
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
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$851.14
Typical High
$1,122.02
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,174.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,318.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,202.26
Typical High
$1,202.26
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$891.25