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Kentucky 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
$137.97 / $169.69 / $906.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $169.69 / $186.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.17 / $318.35 / $334.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.88 / $154.46 / $171.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.76 / $443.30 / $509.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.43 / $395.80 / $525.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $373.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $1,518.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $278.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.88 / $152.87 / $225.90