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Kansas 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
$977.24 / $977.24 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $933.25 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $851.14