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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
$150.53 / $150.53 / $221.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.94 / $150.53 / $169.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $278.75 / $278.75
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 / $176.75 / $180.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.10 / $191.19 / $1,474.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $151.72 / $314.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.08 / $143.53 / $202.44