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

Utah 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?

$347

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $372 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$240 to $407
FacilityA hospital or hospital-owned outpatient department$372$219 to $550

How much rates vary

Facilitymedian $372 · 10th to 90th $219 to $550Professionalmedian $331 · 10th to 90th $219 to $501
$100$200$500facility $372professional $331

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
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$363.08
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
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$407.38
Typical High
$501.19
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$549.54
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Select Health
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Select Health
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$549.54
Typical High
$562.34
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$512.86
Typical High
$812.83
United
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$245.47
Typical High
$478.63

Where Utah 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.

Utah· 31st of 51

$347

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.