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

New Hampshire 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?

$302

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $550 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$275 to $347
FacilityA hospital or hospital-owned outpatient department$550$501 to $589

How much rates vary

Facilitymedian $550 · 10th to 90th $372 to $661Professionalmedian $302 · 10th to 90th $269 to $468
$200$500$1Kfacility $550professional $302

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
$234.42
Median
$323.59
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$588.84
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$467.74
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$269.15
Typical High
$436.52
Well Sense
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03

Where New Hampshire 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.

New Hampshire· 38th of 51

$302

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.