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Mississippi 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
$178.41 / $178.41 / $284.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.87 / $203.49 / $284.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.69 / $246.69 / $246.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.69 / $246.69 / $246.69
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 / $180.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $148.10 / $237.07