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Connecticut 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
$262.99 / $262.99 / $262.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.12 / $262.99 / $344.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.78 / $535.20 / $612.32
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 / $375.73
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.88 / $347.88 / $347.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.88 / $347.88 / $492.38
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.91 / $327.91 / $327.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.77 / $267.01 / $445.02