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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 October 2026.

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

$355

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $331 to $550.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $479 · 10th to 90th $447 to $631Professionalmedian $355 · 10th to 90th $331 to $603
$500$1K$2Kfacility $479professional $355

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$446.68
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$630.96
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$549.54
Typical High
$1,445.44

Where Vermont 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.

Vermont· 50th of 51

$355

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.