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Washington, DC 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
$406.73 / $406.73 / $406.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.73 / $406.73 / $406.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.00 / $533.00 / $679.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $453.31 / $453.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.96 / $645.96 / $1,972.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $495.79 / $771.71