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Elbow Orthosis (EO), Double Upright Free Motion

Oregon 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 $646$8710%20%40%10th90th$776Professionalmedian $631 · 10th–90th $331$9770%10%20%10th90th$631$1.0$10.0$100.0$1.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$316.23
Median
$436.52
Typical High
$575.44
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
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,584.89
Typical High
$1,949.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$645.65
Typical High
$870.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$977.24
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$870.96
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$707.95
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$741.31
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$398.11
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$691.83