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Kentucky 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
$361.24 / $539.54 / $559.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.54 / $533.77 / $559.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.47 / $1,049.75 / $1,103.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.80 / $581.95 / $604.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.31 / $1,417.16 / $1,639.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.26 / $1,259.70 / $1,732.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $1,301.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $5,455.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.61 / $669.04 / $836.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.14 / $508.59 / $692.05