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New Hampshire 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
$96.36 / $96.36 / $115.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.90 / $74.77 / $96.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.14 / $171.14 / $202.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $82.10 / $86.96
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 / $125.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.57 / $138.57 / $427.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $85.38 / $101.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.82 / $123.00 / $156.55