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Florida 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
$434.93 / $482.00 / $552.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.93 / $520.24 / $919.20
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 / $629.04
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.70 / $491.00 / $644.66
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.07 / $649.50 / $1,049.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.48 / $403.83 / $444.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.19 / $512.79 / $711.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.83 / $403.83 / $595.38