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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
$933.25 / $933.25 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,122.02 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $851.14 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $588.84 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $794.33