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Minnesota rates for HCPCS L3740

Elbow Orthosis 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
$818.65 / $818.65 / $818.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.69 / $818.65 / $857.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.30 / $1,178.21 / $1,640.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.57 / $1,119.30 / $1,178.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.22 / $3,635.41 / $10,097.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.75 / $1,447.70 / $1,734.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,158.30 / $3,488.00 / $7,950.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.75 / $1,365.75 / $1,405.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.85 / $1,178.21 / $6,310.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $587.79 / $1,376.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $602.89 / $1,531.67