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

Delaware rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $0$710%20%40%10th90th$56Professionalmedian $55 · 10th–90th $48$2090%20%10th90th$55$0.1$0.5$2.0$10.0$50.0$200.0

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$70.79
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$52.48
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$87.10