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Elbow Orthosis (EO), Double Upright Free Motion

Nebraska rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $363$3,8020%20%10th90th$776Professionalmedian $389 · 10th–90th $380$6310%50%10th90th$389$500.0$1.0K$2.0K$5.0K

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
$380.19
Median
$389.05
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$724.44
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$870.96
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$851.14
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$758.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$2,041.74
Midlands
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$630.96
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$630.96