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Iowa rates for HCPCS L3720

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

Facilitymedian $759 · 10th–90th $447–$2,1880%10%20%10th90th$759Professionalmedian $417 · 10th–90th $316–$7940%20%10th90th$417$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
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $407.38 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $870.96 / $1,096.48
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $794.33 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $954.99 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $467.74 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $870.96 / $1,096.48
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,258.93 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $776.25 / $1,905.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $380.19 / $741.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $724.44