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Louisiana 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
$172.05 / $182.64 / $795.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.18 / $182.63 / $220.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $380.00 / $380.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.08 / $473.35 / $665.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.95 / $226.02 / $226.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.14 / $318.14 / $318.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $180.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $146.83 / $217.45