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Elbow Orthosis (EO), Double Upright Free Motion

Missouri rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $398$1,3180%20%10th90th$617Professionalmedian $457 · 10th–90th $347$9120%20%40%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
$398.11
Median
$398.11
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$2,691.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$676.08