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Idaho rates for HCPCS L3710

Elbow Orthosis Elastic With Metal Joints Pre- Fabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $108.79 / $119.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $95.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $85.16 / $90.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $95.99 / $136.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $129.47 / $136.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $101.81 / $122.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.33 / $133.09 / $199.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.40 / $95.40 / $143.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.86 / $67.98 / $104.04