go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$179.26 / $179.26 / $280.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.60 / $312.60 / $312.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $312.60 / $312.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.75 / $176.75 / $346.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $129.03 / $176.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $141.11 / $156.66