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

Indiana rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $59$1230%20%40%10th90th$95Professionalmedian $63 · 10th–90th $50$1050%20%40%10th90th$63$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
$58.88
Median
$75.86
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$91.20
Typical High
$114.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$120.23
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$74.13
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$83.18