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Washington, DC 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 (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.05 / $219.05 / $219.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.05 / $219.05 / $294.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.79 / $298.79 / $365.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.88 / $347.88 / $1,062.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $267.01 / $415.61