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Elbow Orthosis (EO), Double Upright Adjustable Position Lock

Washington 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 $1,175 · 10th–90th $813$2,7540%20%10th90th$1,175Professionalmedian $977 · 10th–90th $589$2,3440%10%10th90th$977$10.0$50.0$200.0$1.0K$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
$794.33
Median
$794.33
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$6,760.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,148.15
Typical High
$1,174.90
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,318.26
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,737.80
Typical High
$3,388.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,445.44
Typical High
$2,754.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$812.83
Typical High
$1,000.00
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,174.90
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$1,174.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,148.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,174.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,584.89
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,148.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,023.29