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

Wisconsin rates for HCPCS L3762

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

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $63$2190%20%40%10th90th$120Professionalmedian $112 · 10th–90th $59$2190%20%10th90th$112$0.1$0.5$2.0$10.0$50.0$200.0

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
$19.95
Median
$58.88
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$275.42
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$173.78
Typical High
$229.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$147.91
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$117.49
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$61.66
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Network Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$234.42
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$147.91
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$117.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$316.23
Quartz
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$245.47
Typical High
$562.34
Quartz
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$177.83
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$239.88