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Arizona rates for HCPCS L3720

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.57 / $394.70 / $698.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.41 / $911.82 / $1,648.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.03 / $841.37 / $1,146.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $450.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $868.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $642.40 / $3,794.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.81 / $359.73 / $541.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.81 / $359.73 / $541.89