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Elbow Orthosis (EO), Double Upright Free Motion

Hawaii 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?

$1,514

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $1,175 to $1,585.

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.

How much rates vary

Facilitymedian $1,175 · 10th to 90th $447 to $1,175Professionalmedian $1,514 · 10th to 90th $933 to $1,660
$500$1Kfacility $1,175professional $1,514

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
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,513.56
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,659.59
Typical High
$1,659.59
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25

Where Hawaii 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.

Hawaii· 1st of 51

$1,514

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.