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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 October 2026.

How much does Elbow Orthosis (EO), Double Upright Free Motion cost?

$447

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $1,047 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$372 to $646
FacilityA hospital or hospital-owned outpatient department$1,047$851 to $1,738

How much rates vary

Facilitymedian $1,047 · 10th to 90th $447 to $4,365Professionalmedian $417 · 10th to 90th $331 to $912
$500$1K$2K$5Kfacility $1,047professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$758.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$575.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$77.62
Typical High
$117.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$57.54
Median
$57.54
Typical High
$87.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$38.90
Typical High
$57.54
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,258.93
Typical High
$5,128.61
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Hally Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$776.25
Typical High
$1,047.13
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$758.58
Typical High
$1,174.90
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$371.54
Typical High
$891.25

Where Illinois 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.

Illinois· 33rd of 51

$447

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.