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North Dakota 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
$94.51 / $403.34 / $403.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.22 / $294.22 / $403.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.35 / $612.87 / $628.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.63 / $641.98 / $807.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.50 / $403.34 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.86 / $271.32 / $441.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $441.72 / $680.00