Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated cost in Indiana
$92
Cash from
$92–$1,502
Cash range · 16 distinct prices
$97
Insurer rates from
24
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE | La Porte | $92 | $178 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY | Michigan City | $92 | $178 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER | Munster | $95 | $178 | Jan 2026288 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $827 | $97 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $1,265 | $97 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $839 | $97 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $953 | $97 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $959 | $97 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $1,356 | $97 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $1,502 | $97 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $1,047 | $97 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $953 | $97 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $1,288 | $97 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $713 | $97 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $953 | $97 | Mar 2026205 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE | Lafayette | $98 | $182 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL | Carmel | $103 | $203 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | Indianapolis | $103 | $182 | Jan 2026288 days old |
| FRANCISCAN HEALTH RENSSELAER, INC. | Rensselaer | $159 | $111 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | Mooresville | $113 | $178 | Jan 2026288 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterForearm/arm cuffs ext/flex a
- Berger HospitalForearm/arm cuffs ext/flex a
- Bethesda Hospital Inc.Forearm/arm cuffs ext/flex a
- Clinton Memorial HospitalForearm/arm cuffs ext/flex a
- Dayton Osteopathic HospitalForearm/arm cuffs ext/flex a
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMELEo Dbl Upright W Flex Assist Custom Fabricated
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLEEo Dbl Upright W Flex Assist Custom Fabricated
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINTEo Dbl Upright W Flex Assist Custom Fabricated
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYEREo Dbl Upright W Flex Assist Custom Fabricated
- FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLISEo Dbl Upright W Flex Assist Custom Fabricated
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.