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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 July 2026.

Facilitymedian $63 · 10th–90th $34$1170%20%40%10th90th$63Professionalmedian $69 · 10th–90th $59$1260%20%10th90th$69$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$77.62
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$380.19
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$117.49
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$117.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$66.07
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$288.40