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Elbow Orthosis (EO), Double Upright Free Motion

Tennessee rates for HCPCS L3720

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

Rates data updated October 2026.

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

$398

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $447 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$355 to $617
FacilityA hospital or hospital-owned outpatient department$447$447 to $468

How much rates vary

Facilitymedian $447 · 10th to 90th $447 to $550Professionalmedian $398 · 10th to 90th $331 to $6,310
$500$1K$2K$5Kfacility $447professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$177.83
Median
$177.83
Typical High
$194.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$70.79
Median
$72.44
Typical High
$77.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$52.48
Median
$53.70
Typical High
$58.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$35.48
Median
$35.48
Typical High
$38.90
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$630.96
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$380.19
Typical High
$478.63

Where Tennessee sits

The same service costs 4.6 times more in Hawaii than in Delaware. 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.

Tennessee· 44th of 51

$398

HI $1,514DE $331

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.