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Arkansas rates for HCPCS L3702

Elbow Orthosis Without Joints May Include Soft Interface Straps Custom Fabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.94 / $176.94 / $176.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $176.94 / $176.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.82 / $363.73 / $404.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.02 / $309.02 / $318.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.02 / $309.02 / $309.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $254.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $248.70
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.80 / $289.80 / $289.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $143.38 / $206.49