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
Argyle, TX
See all hospitals reporting HCPCS L3720 →Price type
Medical City Denton’s median price of $896 is 7% above the median hospital's median price ($836), higher than 64% 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: 9 payers, 25 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 | Humana tricare fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $836 | $836 | — | — | — | $836 – $836 |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $836 | $836 | — | — | — | $836 – $836 |
| 4 | Devoted hmo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 5 | Devoted mcr fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 6 | Devoted mme fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 7 | Devoted pos fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 8 | Devoted ppo fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 9 | Devoted snp fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 10 | Humana mgmcr fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 11 | UnitedHealthcare mgmcr fee schedule · outpatient | $857 | $857 | — | — | — | $857 – $857 |
| 12 | Aetna mcr fee schedule · outpatient | $860 | $860 | — | — | — | $860 – $860 |
| 13 | Cigna Healthspring mgmcr fee schedule · outpatient | $870 | $870 | — | — | — | $870 – $870 |
| 14 | WellCare mgmcr fee schedule · outpatient | $879 | $879 | — | — | — | $879 – $879 |
| 15 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 16 | Superior Healthplan mgmcrhmo fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 17 | Superior Healthplan mgmcrpffs fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 18 | Superior Healthplan mgmcrpos fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 19 | Superior Healthplan mgmcrppo fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 20 | Superior Healthplan mgmcrsnp fee schedule · outpatient | $896 | $896 | — | — | — | $896 – $896 |
| 21 | Molina mcr fee schedule · outpatient | $930 | $930 | — | — | — | $930 – $930 |
| 22 | Molina mme fee schedule · outpatient | $930 | $930 | — | — | — | $930 – $930 |
| 23 | Molina mmp fee schedule · outpatient | $930 | $930 | — | — | — | $930 – $930 |
| 24 | Molina hix fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 25 | Humana comm fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
Last updated: Mar 1, 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.