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Illinois 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
$385.10 / $385.10 / $398.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.33 / $388.17 / $599.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.17 / $1,514.47 / $6,446.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.54 / $569.41 / $569.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $830.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $868.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.85 / $861.63 / $1,048.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.01 / $974.01 / $974.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.96 / $604.23 / $634.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.26 / $373.78 / $656.31