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Elbow Orthosis (EO), Double Upright Free Motion

Louisiana rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $427$1,4790%20%10th90th$676Professionalmedian $457 · 10th–90th $331$5890%20%10th90th$457$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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,230.27
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$676.08
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$537.03