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Elbow Orthosis (EO), Double Upright Free Motion

Idaho rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $794 · 10th–90th $417$1,0720%20%10th90th$794Professionalmedian $575 · 10th–90th $316$9770%20%10th90th$575$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
$316.23
Median
$512.86
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$707.95
Typical High
$954.99
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$741.31
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$977.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$416.87
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$363.08
Typical High
$512.86