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Elbow Orthosis (EO), Double Upright Free Motion

Vermont rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $269$5250%50%10th90th$447Professionalmedian $389 · 10th–90th $355$6030%20%40%10th90th$389$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$537.03
Typical High
$1,445.44