go back

Florida 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
$488.80 / $541.69 / $620.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.80 / $608.69 / $1,033.04
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 / $745.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.74 / $551.79 / $724.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.50 / $730.00 / $1,179.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.17 / $475.65 / $523.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.18 / $587.79 / $843.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.65 / $475.65 / $705.87