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

Missouri 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 Missouri, October 2026.

Insurers have agreed to pay about $66.07 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $115 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$66.07$58.88 to $70.79
FacilityA hospital or hospital-owned outpatient department$115$67.61 to $427

How much rates vary

Facilitymedian $115 · 10th to 90th $62 to $550Professionalmedian $66 · 10th to 90th $48 to $112
$50$100$200$500facility $115professional $66

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
$61.66
Median
$61.66
Typical High
$70.79
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$64.57
Typical High
$83.18
Ambetter
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$162.18
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$67.61
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$46.77
Median
$47.86
Typical High
$81.28
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$120.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$72.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$66.07
Medica
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$117.49
Typical High
$549.54
Medica
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$58.88
Typical High
$588.84
United
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$58.88
Typical High
$89.13
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$6.46
Median
$6.46
Typical High
$66.07

Where Missouri 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.

Missouri· 34th 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.