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Payers and negotiated rates for HCPCS L3701 | medprice.ai

HCPCS L3701

PR PREFAB ELBOW ORTHOSIS

Payer pricing summary

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Low

$23

Average

$158

Median

$66

High

$1.7k

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 5 Per diem 1 Percent of billed charges 14 Other 0

Filter by billing class

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#
1	Cigna professional · percent of total billed charges · bothfrom % of charges · +2 other terms	9	$28	$27	$4	14%	—	$18 – $33
2	Aetna professional · percent of total billed charges · bothfrom % of charges · +2 other terms	8	$32	$33	$2	5%	—	$32 – $36
3	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	8	$75	$67	$16	23%	—	$33 – $80
4	UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +3 other terms	7	$9	$13	$7	54%	—	$9 – $29
5	First Health professional · percent of total billed charges · bothfrom % of charges	6	$32	$34	$3	10%	—	$32 – $41
6	Humana professional · percent of total billed charges · bothfrom % of charges · +1 other terms	6	$32	$26	$11	42%	—	$11 – $37
7	MultiPlan professional · percent of total billed charges · bothfrom % of charges	5	$30	$25	$9	34%	—	$14 – $33
8	Anthem facility · fee schedule · outpatient · +1 other terms	3	$14	$21	$10	47%	—	$14 – $34
9	Wellmark facility · per diem · inpatient	3	$1.8k	$1.7k	$934	55%	—	$928 – $3.0k
10	Ambetter professional · percent of total billed charges · bothfrom % of charges	2	$28	$28	—	—	—	$28 – $28
11	Kaiser fee schedule · both	2	$25	$25	—	—	—	$25 – $25
12	Phcs professional · percent of total billed charges · bothfrom % of charges	2	$32	$32	—	—	—	$32 – $32
13	Bcbs Vt facility · percent of total billed charges · outpatientfrom % of charges	1	$136	$136	$89	65%	—	$52 – $267
14	Caresource fee schedule · outpatient · +1 other terms	1	$204	$204	$10	5%	—	$194 – $214
15	Excellus facility · percent of total billed charges · outpatientfrom % of charges	1	$96	$96	$86	89%	—	$18 – $310
16	Medicaid percent of total billed charges · outpatientfrom % of charges	1	$66	$66	$3	5%	—	$62 – $69
17	Medicare fee schedule · outpatient	1	$204	$204	$10	5%	—	$194 – $214
18	WellCare percent of total billed charges · outpatientfrom % of charges	1	$67	$67	$3	5%	—	$64 – $71

← Hospitals reporting HCPCS L3701 · Snapshot 20261113T090226Z-3ce6c0b8