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Illinois rates for HCPCS L3710

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $81.28 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $302.00 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $218.78
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $125.89 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $117.49