go back

Colorado 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
$556.52 / $556.52 / $556.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.50 / $556.52 / $921.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.78 / $1,116.60 / $2,027.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.33 / $604.33 / $652.67
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $556.52 / $1,242.23
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.07 / $320.07 / $320.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.46 / $1,242.23 / $1,967.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.17 / $495.79 / $786.31