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Oklahoma 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
$151.36 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
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 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $204.17 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $204.17