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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 October 2026.

How much does Elbow Orthosis (EO), Double Upright Free Motion cost?

$1,349

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $1,202 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,349$832 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,202$447 to $1,349

How much rates vary

Facilitymedian $1,202 · 10th to 90th $447 to $1,413Professionalmedian $1,349 · 10th to 90th $427 to $1,660
$100$200$500$1K$2Kfacility $1,202professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$1,348.96
Typical High
$1,698.24
Moda Health
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$1,348.96
Typical High
$1,412.54
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$1,412.54
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,412.54
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$446.68
Typical High
$1,698.24
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$446.68
Typical High
$1,659.59
United
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$691.83
Typical High
$1,995.26

Where Alaska sits

The same service costs 4.6 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 2nd of 51

$1,349

HI $1,514DE $331

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.