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Mississippi 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
$661.15 / $661.15 / $1,053.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.62 / $818.65 / $1,053.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.23 / $914.23 / $914.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.23 / $914.23 / $914.23
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $560.08 / $905.78