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Oregon rates for HCPCS L3720

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.47 / $516.65 / $2,773.95
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.90 / $1,527.67 / $1,992.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.65 / $707.81 / $861.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.40 / $809.60 / $904.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.66 / $775.15 / $887.12
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.07 / $861.28 / $901.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.42 / $738.81 / $904.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $754.17 / $947.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.57 / $1,432.28 / $3,021.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.70 / $947.41 / $947.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.62 / $359.73 / $686.33