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Virginia 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
$70.51 / $85.18 / $85.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $85.18 / $89.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.27 / $172.27 / $182.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $82.10 / $102.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $92.00 / $117.76
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 / $90.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.59 / $155.04 / $206.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $103.88 / $193.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $215.34 / $286.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.37 / $130.02 / $215.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.37 / $130.02 / $215.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.73 / $85.94 / $129.47