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California 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
$433.08 / $433.08 / $2,773.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.83 / $433.08 / $2,684.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.87 / $1,354.85 / $3,051.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.48 / $463.84 / $696.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,138.24 / $2,032.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,275.65 / $2,971.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.37 / $450.57 / $513.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $480.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.91 / $616.70 / $1,057.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.86 / $673.00 / $1,461.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.63 / $4,566.79 / $4,566.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,147.14 / $6,294.65 / $7,210.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.72 / $2,511.72 / $2,511.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $817.22 / $975.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $819.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.66 / $1,814.66 / $1,814.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.91 / $769.14 / $770.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.60 / $366.04 / $912.45