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Arizona rates for HCPCS L3730

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Extension/ Flexion Assist Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.57 / $530.02 / $919.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.87 / $1,256.69 / $2,272.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.68 / $1,159.57 / $1,579.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $620.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $453.31 / $1,152.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $885.36 / $5,297.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.65 / $495.79 / $746.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.65 / $495.79 / $746.83