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Alabama rates for HCPCS L3740

Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $549.54 / $891.25