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Louisiana 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
$891.25 / $891.25 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,344.23 / $3,235.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
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 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,258.93 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $912.01