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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Virginia 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 $1,202 · 10th–90th $589$1,5140%20%40%10th90th$1,202Professionalmedian $676 · 10th–90th $490$1,1750%20%10th90th$676$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
$478.63
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,479.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,698.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$794.33
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,513.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$2,570.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$954.99