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Alabama rates for HCPCS L3761

Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.24 / $497.24 / $497.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.38 / $352.41 / $497.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.84 / $399.84 / $399.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $548.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $375.73 / $480.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $256.50 / $394.61