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Florida 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
$114.82 / $154.88 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $177.83
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $169.82 / $245.47
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $194.98 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $141.25 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $204.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $323.59