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Elbow Orthosis (EO), Rigid without Joints, Off-the-Shelf

Alaska rates for HCPCS L3762

Elbow orthosis (EO), rigid, without joints, includes soft interface material, prefabricated, off-the-shelf

Rates data updated October 2026.

How much does Elbow Orthosis (EO), Rigid without Joints, Off-the-Shelf cost?

$112

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $100 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$112$85.11 to $112
FacilityA hospital or hospital-owned outpatient department$100$72.44 to $112

How much rates vary

Facilitymedian $100 · 10th to 90th $66 to $117Professionalmedian $112 · 10th to 90th $59 to $123
$50$100$200facility $100professional $112

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$97.72
Typical High
$117.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$112.20
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$112.20
Typical High
$123.03
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$117.49
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$112.20
Typical High
$114.82
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$100.00
Median
$112.20
Typical High
$112.20
Providence
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$66.07
Typical High
$141.25
Providence
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$66.07
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$79.43
Typical High
$288.40

Where Alaska sits

The same service costs 2.5 times more in Kansas than in Delaware. 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.

Alaska· 9th of 51

$112

KS $126DE $51.29

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.