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Alabama 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
$102.90 / $497.24 / $497.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.38 / $308.97 / $497.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.32 / $551.32 / $551.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.33 / $373.33 / $373.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $548.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $635.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $244.39 / $393.91