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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
$154.88 / $245.47 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $257.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $229.09 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $158.49 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $208.93