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Tennessee 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
$245.47 / $269.15 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $338.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,981.07 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $239.88 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $346.74