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

New Hampshire 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?

$64.57

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $117 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$64.57$57.54 to $66.07
FacilityA hospital or hospital-owned outpatient department$117$107 to $129

How much rates vary

Facilitymedian $117 · 10th to 90th $66 to $145Professionalmedian $65 · 10th to 90th $48 to $100
$50$100$200facility $117professional $65

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$64.57
Typical High
$67.61
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$66.07
Typical High
$66.07
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
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
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$100.00
Typical High
$165.96
United
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$57.54
Typical High
$93.33
Well Sense
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82

Where New Hampshire 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.

New Hampshire· 41st of 51

$64.57

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.