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Nevada 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
$452.50 / $452.50 / $522.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.73 / $452.50 / $530.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.04 / $1,325.04 / $1,325.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.95 / $604.33 / $1,325.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $975.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $875.73
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.83 / $1,060.03 / $1,722.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.20 / $495.79 / $826.31