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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
$742.81 / $742.81 / $1,094.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.64 / $715.30 / $742.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.55 / $1,375.58 / $1,375.58
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 / $736.22 / $736.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.47 / $973.89 / $6,310.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.86 / $716.78 / $1,534.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.44 / $587.79 / $843.27