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Kentucky 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
$262.10 / $409.88 / $425.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.13 / $400.97 / $425.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.41 / $797.45 / $838.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.48 / $365.48 / $463.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.09 / $1,076.56 / $1,268.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.58 / $956.94 / $1,315.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $934.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $3,907.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.74 / $508.23 / $635.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.23 / $373.78 / $599.54