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Elbow Orthosis (EO), Double Upright Free Motion

Arizona rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $257$2,1380%10%10th90th$813Professionalmedian $407 · 10th–90th $331$9770%20%40%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K

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
$331.13
Median
$416.87
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$1,071.52
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,995.26
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
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$645.65
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$776.25
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$537.03