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Elbow Orthosis (EO), Double Upright Free Motion

Wyoming rates for HCPCS L3720

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

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $355$7080%20%40%10th90th$398Professionalmedian $407 · 10th–90th $363$7080%20%10th90th$407$500.0

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
$380.19
Median
$407.38
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
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
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$549.54