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Wyoming rates for HCPCS L3730

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.52 / $556.52 / $870.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.49 / $970.49 / $970.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.49 / $970.49 / $970.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.97 / $620.97 / $1,301.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $453.31 / $620.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.10 / $495.79 / $550.41