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Elbow Orthosis (EO), Double Upright Free Motion

Virginia rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $380$9770%20%40%10th90th$776Professionalmedian $417 · 10th–90th $331$7590%20%40%10th90th$417$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$316.23
Median
$380.19
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$436.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$977.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$776.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,698.24
Sentara
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$616.60