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Oklahoma 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
$109.90 / $109.90 / $260.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.01 / $260.67 / $294.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.72 / $482.72 / $482.72
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 / $635.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.77 / $331.11 / $2,563.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $262.77 / $545.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $244.39 / $350.61