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Wisconsin rates for HCPCS L3730

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

Facilitymedian $1,023 · 10th–90th $813$1,8620%50%10th90th$1,023Professionalmedian $741 · 10th–90th $479$1,5140%20%10th90th$741$1.0$5.0$20.0$100.0$500.0$2.0K

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
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $549.54 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $933.25 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,344.23 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,445.44 / $1,905.46
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $812.83 / $1,258.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,412.54 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,000.00 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $588.84 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $257.04
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,148.15 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,548.82 / $3,090.30
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,995.26 / $6,309.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $912.01 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $1,023.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $851.14