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Elbow Orthosis (EO), Double Upright Free Motion

New Jersey rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $324$9770%50%90th$324Professionalmedian $417 · 10th–90th $316$9550%10%20%10th90th$417$500.0$1.0K$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
$323.59
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$870.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,288.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$630.96
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$954.99