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Elbow Orthosis (EO), Double Upright Free Motion

Washington, DC 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?

$407

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $331 to $513.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $316 to $501Professionalmedian $407 · 10th to 90th $316 to $741
$500$1Kfacility $316professional $407

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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$158.49
Median
$158.49
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$63.10
Median
$63.10
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$46.77
Median
$46.77
Typical High
$74.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$31.62
Median
$31.62
Typical High
$48.98
CareFirst
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$537.03
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
$446.68
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$660.69
Typical High
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$416.87
Typical High
$831.76

Where Washington, DC 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.

Washington, DC· 42nd of 51

$407

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.