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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
$141.25 / $309.03 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $302.00 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $288.40 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $426.58