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Arkansas 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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $323.59 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $190.55