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West 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
$513.41 / $513.41 / $513.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.60 / $491.36 / $644.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.34 / $1,341.60 / $1,739.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.96 / $734.83 / $1,259.70
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 / $620.97 / $5,455.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.54 / $531.22 / $826.31