go back

Louisiana 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
$452.06 / $479.87 / $646.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.07 / $464.90 / $521.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.02 / $1,243.71 / $1,748.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.49 / $593.86 / $593.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $450.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $385.82 / $554.34