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Virginia rates for HCPCS L3730

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Extension/ Flexion Assist Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.73 / $491.36 / $491.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.73 / $491.36 / $567.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.78 / $993.78 / $1,055.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.33 / $604.33 / $755.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.00 / $533.00 / $679.34
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.65 / $894.40 / $1,192.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $611.19 / $1,131.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.00 / $1,242.23 / $1,655.31
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.46 / $750.00 / $1,242.23
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.46 / $750.00 / $1,242.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.10 / $495.79 / $746.83