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Arizona rates for HCPCS L3720

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

Facilitymedian $776 · 10th–90th $251–$2,1380%5%10%10th90th$776Professionalmedian $398 · 10th–90th $331–$7590%20%40%10th90th$398$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $1,047.13 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $954.99 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $645.65 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $363.08 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $630.96 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $363.08 / $537.03