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North Dakota 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
$812.83 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $6,309.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,905.46 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,380.38