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Virginia 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

Facilitymedian $550 · 10th–90th $257–$6760%20%40%10th90th$550Professionalmedian $295 · 10th–90th $224–$5500%20%40%10th90th$295$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $616.60
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $537.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $354.81 / $630.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $331.13 / $676.08
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $1,288.25
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $239.88 / $660.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $436.52