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Alabama rates for HCPCS L3702

Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.12 / $287.12 / $287.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $186.86 / $287.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.91 / $186.91 / $186.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $316.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $303.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $141.11 / $218.64