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Nevada 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
$182.77 / $182.77 / $210.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $210.89 / $562.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.20 / $535.20 / $535.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.86 / $295.10 / $653.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $394.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $245.30 / $353.73
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.63 / $428.16 / $695.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $244.39 / $357.62