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Maryland 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
$466.98 / $466.98 / $466.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.48 / $152.80 / $241.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.00 / $188.00 / $211.25
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 / $129.03 / $176.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.32 / $309.02 / $445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $154.18 / $245.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.56 / $169.46 / $216.32