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Elbow Orthosis (EO), Double Upright Free Motion

Indiana rates for HCPCS L3720

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

Rates data updated July 2026.

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

$407

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $759 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$372 to $468
FacilityA hospital or hospital-owned outpatient department$759$468 to $759

How much rates vary

Facilitymedian $759 · 10th to 90th $372 to $891Professionalmedian $398 · 10th to 90th $347 to $692
$500$1Kfacility $759professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$549.54

Where Indiana sits

The same service costs 4.8 times more in Hawaii than in Washington, DC. 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.

Indiana· 39th of 51

$407

HI $1,514DC $316

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.