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Elbow Orthosis (EO), Double Upright Free Motion

Kentucky rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $324$1,1220%20%40%10th90th$427Professionalmedian $380 · 10th–90th $355$5010%20%40%10th90th$380$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
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,071.52
Typical High
$1,380.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$630.96
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$549.54