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Iowa 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
$220.01 / $220.01 / $232.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.18 / $170.07 / $287.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $346.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $367.13 / $458.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.36 / $322.07 / $349.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.95 / $374.02 / $1,474.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $162.44 / $430.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.61 / $346.63 / $429.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.87 / $404.91 / $662.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $157.21 / $411.63
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.36 / $299.36 / $299.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.49 / $299.36 / $299.36