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Georgia 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
$261.82 / $261.82 / $621.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.76 / $314.52 / $497.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.98 / $407.98 / $407.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.32 / $771.85 / $2,023.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.48 / $458.41 / $880.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.92 / $468.62 / $1,019.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.62 / $468.62 / $468.62
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 / $654.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.00 / $551.32 / $765.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.15 / $702.94 / $1,040.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.36 / $271.32 / $453.79