Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
CONROE, TX
See all hospitals reporting HCPCS L3720 →Price type
Hca Houston Healthcare Conroe’s median price of $887 is 6% above the median hospital's median price ($836), higher than 63% of the 986 hospitals reporting HCPCS L3720. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Oscar mgmcr fee schedule · outpatient | $836 | $836 | — | — | — | $836 – $836 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 3 | Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 4 | Cigna Healthspring mcrhmo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 5 | Cigna Healthspring mcrppo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 6 | Cigna Healthspring mcrsnp fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 7 | Cigna Healthspring mmp fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 8 | Cigna Healthspring pffs fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 9 | Devoted mgmcr fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 10 | Humana medicareadvantagehmo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 11 | Humana medicareadvantageppopffs fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 12 | Aetna mcr fee schedule · outpatient | $860 | $860 | — | — | — | $860 – $860 |
| 13 | UnitedHealthcare mcr fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 14 | WellCare mcrhmo fee schedule · outpatient | $879 | $879 | — | — | — | $879 – $879 |
| 15 | WellCare pffs fee schedule · outpatient | $879 | $879 | — | — | — | $879 – $879 |
| 16 | WellCare pos fee schedule · outpatient | $879 | $879 | — | — | — | $879 – $879 |
| 17 | WellCare ppo fee schedule · outpatient | $879 | $879 | — | — | — | $879 – $879 |
| 18 | WellCare snp fee schedule · outpatient | $879 | $879 | — | — | — | $879 – $879 |
| 19 | Superior Healthplan dualeligible fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 20 | Superior Healthplan mcrhmo fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 21 | Superior Healthplan mcrpos fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 22 | Superior Healthplan mcrppo fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 23 | Superior Healthplan mcrsnp fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 24 | Superior Healthplan pffs fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 25 | Molina mgmcr fee schedule · outpatient | $930 | $930 | — | — | — | $930 – $930 |
Last updated: May 14, 2026
See Custom elbow brace with free motion joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.