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Kansas 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
$979.95 / $979.95 / $979.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.07 / $642.04 / $979.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.90 / $1,137.84 / $1,206.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.41 / $1,129.41 / $1,129.41
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 / $620.97 / $1,440.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $953.73 / $5,297.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $589.73 / $1,511.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.74 / $545.86 / $790.72