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Ohio 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
$78.90 / $170.07 / $573.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.83 / $170.07 / $218.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.32 / $348.30 / $902.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.46 / $171.10 / $417.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.48 / $316.64 / $427.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.93 / $286.52 / $677.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $373.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $225.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $180.09
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $176.75 / $176.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.31 / $152.22 / $229.55