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Maine 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
$388.17 / $437.67 / $437.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.32 / $830.89 / $1,540.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.15 / $460.15 / $463.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $529.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $450.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.80 / $583.80 / $583.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.01 / $437.67 / $437.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $359.73 / $827.27