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Kansas 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
$109.90 / $410.07 / $451.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.77 / $296.06 / $451.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.27 / $409.27 / $409.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.17 / $439.13 / $467.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.09 / $461.09 / $461.09
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 / $794.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $439.77 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $272.24 / $697.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $272.24 / $364.60