go back

Kansas 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
$625.16 / $625.16 / $625.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.24 / $409.59 / $625.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.10 / $925.58 / $984.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.30 / $879.30 / $879.30
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 / $450.57 / $1,085.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $608.42 / $3,794.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $376.64 / $964.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $364.08 / $504.44