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

Hawaii 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?

$117

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $81.28 to $123.

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.

How much rates vary

Facilitymedian $91 · 10th to 90th $71 to $91Professionalmedian $117 · 10th to 90th $78 to $126
$100facility $91professional $117

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
Professional
Modifier
None
Typical Low
$38.90
Median
$63.10
Typical High
$67.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
HMSA
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$117.49
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$125.89
Typical High
$125.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62

Where Hawaii 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.

Hawaii· 3rd of 51

$117

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.