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Oklahoma 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
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $741.31 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,258.93 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $588.84 / $851.14