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Elbow Orthosis (EO), Double Upright Free Motion

Alaska rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $234$1,3490%20%40%10th90th$437Professionalmedian $537 · 10th–90th $372$1,9050%20%10th90th$537$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$575.44
Typical High
$1,348.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,412.54
Typical High
$2,630.27
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$1,412.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$446.68
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$3,467.37