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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.50 / $276.50 / $276.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.76 / $272.88 / $294.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.36 / $722.52 / $936.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.88 / $385.92 / $661.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.89 / $336.03 / $646.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $2,639.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.78 / $350.78 / $350.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.84 / $267.01 / $464.91