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Texas 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
$373.52 / $380.85 / $388.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.88 / $388.17 / $625.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.06 / $398.06 / $498.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.42 / $836.42 / $836.42
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.44 / $3,794.31 / $4,566.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,147.14 / $6,294.65 / $7,210.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $582.91 / $836.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.24 / $769.51 / $861.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.84 / $853.15 / $1,919.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $558.89 / $836.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $480.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.77 / $433.51 / $516.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $463.84 / $836.42