go back

Alabama rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.78 / $946.78 / $946.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.17 / $946.78 / $946.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.54 / $695.54 / $695.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $993.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $870.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $495.79 / $746.83