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Pennsylvania 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
$70.90 / $70.90 / $274.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.66 / $78.44 / $99.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.18 / $172.27 / $172.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $142.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $62.17 / $183.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.86 / $142.24 / $270.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.33 / $116.33 / $129.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.90 / $70.90 / $274.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.66 / $79.92 / $274.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.30 / $185.20 / $280.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.16 / $85.16 / $142.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $62.17 / $226.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.17 / $163.97 / $163.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $163.97 / $163.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $85.94 / $143.24