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Elbow Orthosis (EO), Double Upright Free Motion

Minnesota rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $1,148 · 10th–90th $550$6,1660%20%10th90th$1,148Professionalmedian $741 · 10th–90th $479$8710%50%10th90th$741$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
$524.81
Median
$524.81
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,818.38
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,096.48
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$6,165.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$363.08
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$1,047.13