Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
LARGO, FL
See all hospitals reporting HCPCS L3740 →Price type
Hca Florida Largo Hospital’s median price of $1.3k is 2% below the median hospital's median price ($1.3k), higher than 49% of the 972 hospitals reporting HCPCS L3740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 2 | Aetna qhp percent of total billed charges · outpatientfrom % of charges | $490 | $490 | — | — | — | $490 – $490 |
| 3 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $506 | $506 | — | — | — | $506 – $506 |
| 4 | Aetna gatedcomm percent of total billed charges · outpatientfrom % of charges | $697 | $697 | — | — | — | $697 – $697 |
| 5 | Aetna nongatedcomm percent of total billed charges · outpatientfrom % of charges | $697 | $697 | — | — | — | $697 – $697 |
| 6 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $925 | $925 | — | — | — | $925 – $925 |
| 7 | Humana tricare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Caresource tricare fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Devoted mcr fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | UnitedHealthcare mgmcd fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | UnitedHealthcare mcr fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Humana mgmcrppo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | WellCare mcr fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Cigna Healthspring mcr fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Humana mgmcrhmo fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | MultiPlan primaryppo percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | MultiPlan complementaryppo percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 21 | Optum mcr percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Mar 1, 2026
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