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Mississippi 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
$588.29 / $588.29 / $937.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.24 / $690.50 / $937.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.49 / $813.49 / $813.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.49 / $813.49 / $813.49
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 / $620.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $495.79 / $781.75