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Montana rates for HCPCS L3710

Elbow orthosis (EO), elastic with metal joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $81.84 / $440.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.09 / $133.09 / $133.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $143.09 / $143.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $116.37 / $143.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $136.28 / $143.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $107.40 / $143.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.45 / $67.98 / $104.04