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

Iowa rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $91 · 10th–90th $55$2950%10%20%10th90th$91Professionalmedian $74 · 10th–90th $48$1320%20%10th90th$74$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$81.28
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$169.82
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$134.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$72.44
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$162.18
Midlands
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$120.23
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$144.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$114.82