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Mississippi 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
$446.90 / $446.90 / $712.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.51 / $509.74 / $712.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.97 / $617.97 / $617.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.97 / $617.97 / $617.97
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $378.59 / $593.87