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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
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $165.96 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $213.80