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Arkansas rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.90 / $464.90 / $464.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.41 / $464.90 / $464.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.07 / $955.68 / $1,061.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.69 / $768.69 / $797.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.69 / $768.69 / $768.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $669.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $653.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $385.82 / $502.87