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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
$1,036.52 / $1,036.52 / $1,036.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.47 / $679.10 / $1,036.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.10 / $1,594.68 / $1,696.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.95 / $1,514.95 / $1,514.95
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 / $736.22 / $1,707.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.47 / $1,008.78 / $6,310.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $624.46 / $1,599.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $624.46 / $836.37