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Washington, DC 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
$482.22 / $482.22 / $482.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.22 / $482.22 / $482.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.00 / $632.00 / $805.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $537.44 / $537.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.84 / $765.84 / $2,338.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $587.79 / $883.16