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Elbow Orthosis (EO), Double Upright Free Motion

West Virginia 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 West Virginia, 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 $468 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$398$363 to $513
FacilityA hospital or hospital-owned outpatient department$468$447 to $832

How much rates vary

Facilitymedian $468 · 10th to 90th $447 to $1,122Professionalmedian $398 · 10th to 90th $331 to $851
$500$1K$2Kfacility $468professional $398

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
$380.19
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$58.88
Median
$60.26
Typical High
$60.26
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
CareSource
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
CareSource
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$954.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$3,981.07
United
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$630.96
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$436.52
Typical High
$851.14

Where West Virginia 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.

West Virginia· 43rd 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.