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Colorado 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
$310.45 / $310.45 / $310.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.82 / $310.88 / $415.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.38 / $622.90 / $1,130.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.51 / $301.51 / $301.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.73 / $375.73 / $383.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $274.27 / $583.91
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.45 / $358.79 / $692.98
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.79 / $358.79 / $358.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.70 / $692.98 / $1,097.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.77 / $244.39 / $394.61