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Elbow Orthosis (EO), Double Upright Free Motion

South Carolina rates for HCPCS L3720

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

Rates data updated July 2026.

How much does Elbow Orthosis (EO), Double Upright Free Motion cost?

$417

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$398 to $575
FacilityA hospital or hospital-owned outpatient department$479$398 to $741

How much rates vary

Facilitymedian $479 · 10th to 90th $389 to $1,000Professionalmedian $417 · 10th to 90th $380 to $692
$500$1K$2Kfacility $479professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$870.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$457.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$630.96
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$537.03

Where South Carolina sits

The same service costs 4.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 31st of 51

$417

HI $1,514DC $316

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.