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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 October 2026.

How much does Elbow Orthosis (EO), Rigid without Joints, Off-the-Shelf cost?

$66.07

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $120 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$58.88 to $85.11
FacilityA hospital or hospital-owned outpatient department$120$95.50 to $120

How much rates vary

Facilitymedian $120 · 10th to 90th $66 to $295Professionalmedian $65 · 10th to 90th $52 to $120
$50$100$200$500$1K$2Kfacility $120professional $65

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$95.50
Ambetter
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$120.23
Typical High
$120.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$120.23
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$66.07
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$6.46
Median
$6.46
Typical High
$9.12
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$47.86
Median
$47.86
Typical High
$67.61
CareSource
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$66.07
Typical High
$575.44
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$380.19
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$100.00
Typical High
$169.82
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$58.88
Typical High
$87.10

Where Indiana 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.

Indiana· 33rd of 51

$66.07

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.