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Utah 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
$43.89 / $43.89 / $43.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.89 / $73.13 / $440.27
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 / $85.16 / $199.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.68 / $99.49 / $129.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.33 / $133.09 / $133.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.78 / $95.40 / $143.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.24 / $67.98 / $79.84