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Minnesota rates for HCPCS L3720

Elbow orthosis (EO), double upright with forearm/arm cuffs, free motion, custom fabricated

Facilitymedian $832 · 10th–90th $550–$5,4950%20%10th90th$832Professionalmedian $741 · 10th–90th $389–$8710%50%10th90th$741$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $436.52 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $741.31 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,818.38 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,000.00 / $1,096.48
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,818.38 / $5,495.41
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $741.31 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $354.81 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,047.13