Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L3730 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom-fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Elbow Orthotics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L3730 |
National average reimbursement for HCPCS L3730 by major payers:
$920.50
$604.19
$651.68
$1,176.48
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L3730.
HCPCS L3730
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,423.83Published rateThe Hospital Authority Of Habersham County
$710.02Published rateQuest Diagnostics Incorporated
$662.28Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$501.85Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$349.14Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L3730 vs. Other Elbow Orthotics Codes
The HCPCS L3730 code is part of the Orthotic Procedures and services services used for Elbow Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L3730 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L3720-HCPCS | Moderate | Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom-fabricated |
| L3730-HCPCS | Moderate | Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom-fabricated |
| L3740-HCPCS | High | Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom-fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3730 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L3730) and we'll show you how you compare in 15 minutes or less.