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Ohio 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
$533.77 / $533.77 / $1,659.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.60 / $533.77 / $690.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.16 / $1,093.16 / $2,832.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.80 / $581.76 / $1,311.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.34 / $993.78 / $1,341.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.34 / $993.78 / $2,127.88
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 / $453.31 / $793.29
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $620.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $620.97 / $620.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.57 / $579.66 / $759.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $495.79 / $746.09