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Wyoming 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
Professional
Modifier
Low / Median / High Price
$310.45 / $310.45 / $485.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.39 / $541.39 / $541.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.39 / $541.39 / $541.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.03 / $336.03 / $600.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $486.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.88 / $244.39 / $271.32