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Kentucky 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
$178.07 / $293.87 / $312.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.85 / $293.87 / $325.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.62 / $468.62 / $468.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.20 / $551.32 / $579.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.87 / $267.52 / $295.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.49 / $767.75 / $883.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.75 / $685.49 / $909.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $646.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $306.20 / $2,639.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.28 / $335.71 / $419.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.36 / $264.76 / $363.46