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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 July 2026.

Facilitymedian $117 · 10th–90th $65$1450%20%10th90th$117Professionalmedian $69 · 10th–90th $50$1000%20%10th90th$69$50.0$100.0$200.0$500.0

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
$64.57
Median
$64.57
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$144.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$66.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$69.18
Typical High
$100.00
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$144.54