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Louisiana 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
$297.95 / $316.27 / $426.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.82 / $297.95 / $343.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.83 / $819.72 / $1,152.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.23 / $391.41 / $391.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $635.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $254.29 / $405.59