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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
$849.04 / $901.28 / $1,214.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.38 / $849.04 / $979.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.34 / $2,335.90 / $3,283.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.49 / $1,115.36 / $1,115.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $736.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $685.76 / $1,038.24