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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.

Facilitymedian $479 · 10th–90th $389$1,0000%20%10th90th$479Professionalmedian $417 · 10th–90th $380$6920%20%10th90th$417$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. Need provider-level prices? Contact us.

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