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Oregon 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
$227.07 / $227.07 / $467.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $169.88 / $697.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $176.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $176.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.32 / $599.41 / $781.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.38 / $253.97 / $309.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.78 / $290.49 / $324.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.31 / $309.02 / $339.93
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.13 / $309.02 / $320.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $270.60 / $324.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $270.60 / $339.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.47 / $513.91 / $1,084.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.77 / $339.93 / $339.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.83 / $141.11 / $269.23