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Mississippi 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
$177.83 / $177.83 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $257.04 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $218.78