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Connecticut rates for HCPCS L3740

Elbow Orthosis 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
$763.53 / $763.53 / $763.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.26 / $729.06 / $763.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,217.49 / $1,570.95 / $1,797.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.17 / $713.17 / $751.87
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 / $736.22
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.12 / $1,021.12 / $1,021.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.79 / $1,021.12 / $1,337.24
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.53 / $749.53 / $749.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.79 / $783.73 / $1,306.21