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North Carolina 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
$1,033.04 / $1,033.04 / $1,782.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.68 / $1,033.04 / $1,033.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.77 / $1,750.01 / $2,155.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.46 / $884.82 / $884.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.77 / $736.22 / $736.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $736.22 / $1,365.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.47 / $1,033.04 / $1,387.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $663.00 / $828.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.20 / $1,744.20 / $2,681.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.20 / $587.79 / $885.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.28 / $7,462.01 / $7,462.01
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,206.18 / $10,206.18 / $10,901.40