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Elbow Orthosis (EO), Double Upright Free Motion

Rhode Island rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $1,202 · 10th–90th $417$1,6600%10%10th90th$1,202Professionalmedian $398 · 10th–90th $316$5130%20%10th90th$398$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,445.44
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$602.56