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Connecticut 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
$644.01 / $644.01 / $644.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.86 / $567.77 / $644.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.91 / $1,325.04 / $1,515.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.33 / $604.33 / $634.17
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 / $620.97
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.28 / $861.28 / $861.28
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.44 / $861.28 / $1,192.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.82 / $651.82 / $651.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.17 / $661.04 / $1,101.74