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Washington, DC rates for HCPCS L3720

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Free Motion Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.61 / $314.61 / $314.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.61 / $314.61 / $314.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.00 / $412.00 / $525.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $328.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.65 / $499.65 / $1,525.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.66 / $383.49 / $576.19