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Wyoming rates for HCPCS L3720

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

Facilitymedian $389 · 10th–90th $355$7080%20%40%10th90th$389Professionalmedian $407 · 10th–90th $363$7080%20%10th90th$407$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $407.38 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $363.08 / $549.54