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Florida 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
$131.90 / $153.90 / $275.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.48 / $165.76 / $278.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
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 / $188.42
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.30 / $148.88 / $195.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.16 / $212.70 / $318.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.68 / $254.68 / $254.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.36 / $155.50 / $202.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.10 / $171.10 / $318.35