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Mississippi 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
$309.03 / $309.03 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $309.03 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $436.52 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $380.19