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Arizona 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
$332.67 / $332.67 / $332.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.08 / $294.22 / $572.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.51 / $507.60 / $917.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.28 / $468.37 / $638.15
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 / $635.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $373.00 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $244.39 / $368.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $244.39 / $368.14