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Elbow Orthosis (EO), Double Upright Free Motion

Utah 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?

$447

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $363 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 7 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$457$331 to $759
FacilityA hospital or hospital-owned outpatient department$363$234 to $724

How much rates vary

Facilitymedian $363 · 10th to 90th $234 to $724Professionalmedian $457 · 10th to 90th $234 to $4,169
$500$1K$2Kfacility $363professional $457

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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$4,168.69
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
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$524.81
Typical High
$691.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$977.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Select Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$741.31
Typical High
$870.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$363.08
Typical High
$549.54

Where Utah 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.

Utah· 23rd of 51

$447

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.