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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 July 2026.

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

$347

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$245 to $468
FacilityA hospital or hospital-owned outpatient department$240$219 to $550

How much rates vary

Facilitymedian $240 · 10th to 90th $219 to $550Professionalmedian $347 · 10th to 90th $219 to $813
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $240professional $347

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$371.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$407.38
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$549.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$602.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$562.34
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$416.87

Where Utah sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $347 · 22nd of 51
MN $550DC $219

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.