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Elbow Orthosis (EO), Double Upright Free Motion

Illinois rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $759 · 10th–90th $389$3,8900%20%10th90th$759Professionalmedian $398 · 10th–90th $355$7590%20%40%10th90th$398$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$758.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$831.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,047.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$676.08