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Nationwide 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
$248.04 / $294.22 / $381.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.71 / $294.22 / $431.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.20 / $572.97 / $1,070.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.09 / $295.10 / $429.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $336.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $582.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $267.01 / $415.61