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Elbow Orthosis (EO), Adjustable Position Lock, Off-the-Shelf

Hawaii rates for HCPCS L3761

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf

Rates data updated October 2026.

How much does Elbow Orthosis (EO), Adjustable Position Lock, Off-the-Shelf cost?

$575

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $550 to $589.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380 · 10th to 90th $380 to $380Professionalmedian $575 · 10th to 90th $427 to $589
$500facility $380professional $575

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$331.13
Typical High
$380.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
HMSA
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$549.54
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$588.84
Typical High
$588.84
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58

Where Hawaii sits

The same service costs 2.1 times more in Hawaii than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$575

HI $575NJ $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.