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Virginia 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
$314.61 / $380.07 / $380.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.61 / $380.07 / $427.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.69 / $768.69 / $816.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.84 / $463.84 / $570.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.00 / $412.00 / $525.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.89 / $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
$538.08 / $691.82 / $922.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.24 / $472.75 / $875.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.00 / $960.86 / $1,280.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.14 / $580.12 / $960.86
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.14 / $580.12 / $960.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.64 / $383.49 / $576.19