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Alaska 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
Professional
Modifier
Low / Median / High Price
$294.22 / $458.48 / $605.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.03 / $336.03 / $336.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $157.77 / $157.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.44 / $508.44 / $802.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $157.77 / $336.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $396.95 / $627.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.68 / $433.34 / $667.53