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Maryland rates for HCPCS L3720

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Free Motion Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.61 / $330.41 / $600.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.00 / $412.00 / $525.47
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 / $328.92 / $450.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.08 / $768.69 / $1,106.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.13 / $383.49 / $611.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $432.00 / $538.08