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Minnesota 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
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $588.84 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $208.93 / $229.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,096.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $154.88 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $67.61 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $67.61 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $190.55