go back

Minnesota rates for HCPCS L3710

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.79 / $108.79 / $108.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.39 / $99.15 / $108.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.13 / $156.57 / $218.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.26 / $148.74 / $156.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $483.13 / $1,341.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $192.39 / $230.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.83 / $463.54 / $1,056.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $181.50 / $186.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.21 / $156.57 / $717.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $70.95 / $158.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $67.98 / $158.69