go back

Wyoming 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
$403.80 / $403.80 / $631.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.17 / $704.17 / $704.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.17 / $704.17 / $704.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $830.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $450.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.13 / $359.73 / $399.37