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Oklahoma 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
$395.50 / $395.50 / $582.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.85 / $395.50 / $425.06
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 / $450.57 / $450.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $518.54 / $3,794.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $398.68 / $827.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.82 / $359.73 / $516.08