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North Carolina 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
$154.88 / $154.88 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $467.74 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $245.47 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $363.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $208.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $281.84 / $467.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $141.25 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $223.87
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,344.23 / $2,344.23