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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Vermont 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 $447$9120%50%10th90th$741Professionalmedian $759 · 10th–90th $741$1,1750%20%40%10th90th$759$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$741.31
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$977.24
Typical High
$3,162.28