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

Idaho rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $110 · 10th–90th $60$1450%50%10th90th$110Professionalmedian $69 · 10th–90th $47$1290%20%10th90th$69$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
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$66.07
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$104.71
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$100.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$112.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$128.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$177.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$77.62