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Illinois 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
$153.12 / $195.29 / $313.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.49 / $169.87 / $270.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.42 / $640.22 / $2,724.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.09 / $240.65 / $240.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $346.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $367.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.41 / $352.82 / $496.10
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.63 / $411.63 / $411.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $157.97 / $271.18