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Tennessee 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
$530.77 / $530.77 / $579.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.94 / $579.91 / $993.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.92 / $1,061.78 / $1,061.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.79 / $736.22 / $736.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $537.44 / $736.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.28 / $6,310.18 / $7,462.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,966.95 / $10,206.18 / $10,901.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.38 / $582.54 / $843.27