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New Jersey 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
$182.21 / $182.21 / $211.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.21 / $233.85 / $323.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $535.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $635.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.96 / $492.38 / $701.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.66 / $535.20 / $535.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.91 / $273.02 / $535.20