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Minnesota 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
$520.59 / $520.59 / $550.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.46 / $520.59 / $524.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.83 / $749.24 / $1,043.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.39 / $711.78 / $749.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $2,312.21 / $6,421.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.50 / $920.61 / $1,103.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.74 / $2,218.46 / $5,056.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.50 / $868.50 / $894.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.21 / $749.24 / $3,794.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $359.73 / $839.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $385.44 / $1,060.17