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Connecticut 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
$150.19 / $150.19 / $1,267.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.49 / $150.19 / $169.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.50 / $309.02 / $353.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.10 / $171.10 / $180.50
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 / $176.75
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.87 / $200.87 / $200.87
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $200.87 / $284.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $235.25 / $235.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.66 / $154.18 / $256.95