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

Washington rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $115 · 10th–90th $78$2450%20%10th90th$115Professionalmedian $95 · 10th–90th $48$2190%10%10th90th$95$1.0$5.0$20.0$100.0$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
$77.62
Median
$104.71
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$77.62
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$114.82
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$66.07
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$66.07
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$154.88
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$134.90
Typical High
$245.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$97.72
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$114.82
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$114.82
Typical High
$125.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$229.09
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$112.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$114.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$61.66
Typical High
$102.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$100.00