go back

Alaska rates for HCPCS L3710

Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $134.11 / $134.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $85.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $85.16 / $282.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $43.89 / $43.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $148.72 / $234.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $43.89 / $85.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $90.78 / $199.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $149.69 / $195.26