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South 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
$272.88 / $272.88 / $272.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $290.02 / $482.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.00 / $443.78 / $620.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.81 / $336.03 / $371.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $347.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.33 / $395.00 / $865.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $308.00 / $333.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.36 / $261.74 / $331.55