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

South Carolina rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $58$1510%20%10th90th$71Professionalmedian $63 · 10th–90th $50$1050%20%10th90th$63$20.0$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
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$61.66
Typical High
$104.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$66.07
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$138.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$69.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$66.07
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$58.88
Typical High
$79.43