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Indiana 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
$77.50 / $77.50 / $156.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.52 / $80.48 / $85.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.43 / $117.43 / $117.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.69 / $140.13 / $156.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.39 / $82.10 / $113.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.90 / $172.23 / $234.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.08 / $172.23 / $211.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $156.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $85.16 / $149.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $74.63 / $104.63