go back

Minnesota 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
$220.01 / $220.01 / $220.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.16 / $169.87 / $246.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.24 / $316.64 / $440.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.31 / $300.81 / $316.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $976.62 / $2,712.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.13 / $389.15 / $466.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.79 / $937.01 / $2,135.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.13 / $367.13 / $377.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.83 / $316.64 / $1,474.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $156.66 / $345.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $157.81 / $329.41