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Elbow Orthosis (EO), Double Upright Free Motion

Montana rates for HCPCS L3720

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

Rates data updated July 2026.

How much does Elbow Orthosis (EO), Double Upright Free Motion cost?

$708

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $708 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$380 to $741
FacilityA hospital or hospital-owned outpatient department$708$603 to $759

How much rates vary

Facilitymedian $708 · 10th to 90th $468 to $977Professionalmedian $550 · 10th to 90th $234 to $1,380
$100.0$200.0$500.0$1.0K$2.0Kfacility $708professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$758.58
Typical High
$758.58
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,380.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,380.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$691.83
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$549.54

Where Montana sits

The same service costs 4.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $708 · 6th of 51
HI $1,514DC $316

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.