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West 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
$397.12 / $397.12 / $397.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.46 / $380.07 / $397.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.34 / $1,037.73 / $1,345.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.65 / $558.22 / $956.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $934.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $450.57 / $3,907.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.13 / $383.49 / $577.66