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Washington rates for HCPCS L3702

Elbow orthosis (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Facilitymedian $331 · 10th–90th $224$7410%20%10th90th$331Professionalmedian $209 · 10th–90th $110$4900%10%20%10th90th$209$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $489.78 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $181.97 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $302.00 / $302.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $177.83 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $177.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $416.87 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $371.54 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $213.80 / $263.03
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $302.00 / $309.03
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $323.59
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $616.60
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $457.09 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $151.36 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $467.74