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Connecticut 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
$350.46 / $350.46 / $350.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.41 / $378.71 / $418.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.83 / $721.07 / $824.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.15 / $463.84 / $463.84
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 / $450.57
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.70 / $468.70 / $468.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.70 / $504.75 / $721.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.65 / $506.65 / $506.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.67 / $359.73 / $599.54