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North Carolina 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
$482.76 / $482.76 / $832.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.05 / $482.76 / $482.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $530.44 / $1,007.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.14 / $413.49 / $441.06
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 / $794.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $482.76 / $627.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $308.00 / $374.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.20 / $642.20 / $987.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $272.58 / $431.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.44 / $2,563.00 / $2,563.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.81 / $2,760.81 / $4,014.00