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Arkansas 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
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $562.34 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,148.15 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $549.54 / $724.44