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Oklahoma 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
$578.48 / $578.48 / $852.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.05 / $578.48 / $578.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.93 / $1,071.26 / $1,071.26
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 / $620.97 / $620.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $758.45 / $5,297.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $578.41 / $1,210.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $522.78 / $711.27