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Maryland 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
Professional
Modifier
Low / Median / High Price
$482.22 / $560.26 / $921.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.00 / $632.00 / $805.42
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 / $736.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.75 / $1,178.21 / $1,696.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.38 / $587.79 / $936.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.18 / $705.87 / $824.75