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Washington rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Facilitymedian $1,148 · 10th–90th $776$2,6300%20%10th90th$1,148Professionalmedian $776 · 10th–90th $479$1,5850%20%10th90th$776$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $1,023.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,122.02 / $1,122.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $616.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,412.54 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,348.96 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $794.33 / $977.24
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,122.02 / $1,148.15
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,148.15 / $1,148.15
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,698.24 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,122.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,348.96 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $954.99
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $831.76 / $1,778.28