go back

Connecticut 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
$260.13 / $260.13 / $260.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $260.13 / $294.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.78 / $535.20 / $612.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.10 / $295.10 / $312.60
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 / $245.30
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.88 / $347.88 / $347.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.88 / $347.88 / $492.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.60 / $304.60 / $895.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.84 / $267.01 / $433.34