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Colorado 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
Facility
Modifier
Low / Median / High Price
$659.80 / $659.80 / $659.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.48 / $659.80 / $1,183.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.21 / $1,323.84 / $2,403.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.17 / $713.17 / $770.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.22 / $736.22 / $736.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $537.44 / $1,339.37
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.47 / $659.80 / $1,570.95
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.47 / $379.47 / $379.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.09 / $1,472.76 / $2,332.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.72 / $587.79 / $885.43