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Kansas 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
$153.55 / $260.94 / $307.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $170.96 / $260.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.01 / $257.01 / $257.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $176.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $458.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.10 / $253.95 / $1,474.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $157.21 / $301.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $157.21 / $210.54