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

Montana rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $74$3470%20%40%10th90th$117Professionalmedian $79 · 10th–90th $39$2290%20%10th90th$79$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$33.88
Median
$63.10
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$229.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$229.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$81.28