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Elbow Orthosis (EO), Double Upright Free Motion

New Mexico rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $3,090 · 10th–90th $363$10,2330%5%10th90th$3,090Professionalmedian $437 · 10th–90th $339$1,6600%20%10th90th$437$100.0$500.0$2.0K$10.0K$50.0K

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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$6,606.93
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$602.56
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$537.03