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Elbow Orthosis (EO), Double Upright Free Motion

Massachusetts rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $316$2,9510%10%20%10th90th$501Professionalmedian $631 · 10th–90th $316$9770%20%40%10th90th$631$1.0$10.0$100.0$1.0K$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
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$1,096.48
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$4,677.35
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$575.44
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$954.99
Health New England
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$4,677.35
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$602.56
Typical High
$676.08