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Maryland 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
$70.51 / $75.91 / $134.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $92.00 / $117.76
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 / $62.17 / $85.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.59 / $172.27 / $248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $85.94 / $136.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.64 / $81.64 / $120.59