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Missouri 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
$71.34 / $71.34 / $95.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $73.93 / $112.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.28 / $143.09 / $629.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $82.10 / $110.30
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 / $94.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $110.30 / $717.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $67.98 / $165.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.39 / $67.98 / $140.04