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Arkansas rates for HCPCS L3760

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.60 / $306.42 / $349.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.43 / $306.42 / $306.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.02 / $441.02 / $441.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.91 / $629.88 / $699.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.20 / $535.20 / $551.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.20 / $535.20 / $535.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $441.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $414.30
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.17 / $507.17 / $507.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $248.33 / $331.44