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Colorado 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
$179.26 / $259.10 / $470.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.49 / $176.74 / $239.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.10 / $359.66 / $653.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.10 / $171.10 / $184.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $337.18
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.10 / $174.23 / $425.41
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $91.10 / $91.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.67 / $400.13 / $633.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $141.11 / $212.57