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Elbow Orthosis (EO), Double Upright Free Motion

Oklahoma rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $417 · 10th–90th $380$1,0000%20%10th90th$417Professionalmedian $398 · 10th–90th $302$5500%20%10th90th$398$200.0$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
$380.19
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$436.52
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
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$512.86